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NPI Code Detail

MEDICARE: VICTORIA HELENE BLAIR

MEDICARE: VICTORIA HELENE BLAIR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1447821848
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA HELENE BLAIR
Provider Business Mailing Address
First Line : 8234 KEY ROYAL CIR APT 524
Second Line :
City : NAPLES
State : FL
Zip : 34119-6798
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12811 KENWOOD LN STE 213
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-5648
Country : US
Telephone Number : 239-537-9646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2021
Last Update Date : 07/07/2021

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Directions to “ VICTORIA HELENE BLAIR ” Practice Location

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