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NPI Code Detail

MEDICARE: DAVID M BLANKENSHIP LPCC-S,PHD

MEDICARE: DAVID M BLANKENSHIP LPCC-S,PHD
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
1101YP2500XProfessional Counselor
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1760491260
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID M BLANKENSHIP LPCC-S,PHD
Provider Business Mailing Address
First Line : 900 MULL AVE
Second Line :
City : AKRON
State : OH
Zip : 44313-7597
Country : US
Telephone Number : 330-867-5603
Fax Number : 330-873-3439
Provider Business Practice Location Address
First Line : 900 MULL AVE
Second Line :
City : AKRON
State : OH
Zip : 44313-7597
Country : US
Telephone Number : 330-867-5603
Fax Number : 330-873-3439
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 05/13/2025

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