Mr Dan K Blair, MA | |
7115 Virginia Rd, Suite 110, Crystal Lake, IL 60014-3112 | |
(815) 276-3947 | |
(815) 356-8975 |
Full Name | Mr Dan K Blair |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 7115 Virginia Rd, Crystal Lake, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891866141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Illinois) | Primary |
101YM0800X | Counselor - Mental Health | (Illinois) | Secondary |
Entity Name | Blair Counseling And Mediation Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245479674 PECOS PAC ID: 9032515796 Enrollment ID: O20210903000007 |
Mailing Address | Practice Location Address |
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Mr Dan K Blair, MA 7115 Virginia Rd, Suite 110, Crystal Lake, IL 60014-3112 Ph: (815) 276-3947 | Mr Dan K Blair, MA 7115 Virginia Rd, Suite 110, Crystal Lake, IL 60014-3112 Ph: (815) 276-3947 |
Ms. Kelly Lynne Canavan, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 E Terra Cotta Avenue, Unit 103, Crystal Lake, IL 60014 Phone: 815-979-2580 Fax: 815-354-3517 | |
Jorge Roman, Counselor Medicare: Accepting Medicare Assignments Practice Location: 650 Dakota St Ste A, Crystal Lake, IL 60012 Phone: 815-334-5018 Fax: 815-356-1104 | |
Ms. Stacey A Coleman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Pyott Rd Ste 102, Crystal Lake, IL 60014 Phone: 815-444-9076 Fax: 815-444-9079 | |
Mr. Frank Morales, CRADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Virginia St, Crystal Lake, IL 60014 Phone: 815-459-0499 Fax: 815-788-0115 | |
Susan Charles, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Crystal Point Dr Ste 3, Crystal Lake, IL 60014 Phone: 815-981-1979 | |
Meghan Joshi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014 Phone: 314-308-2722 | |
Gabrielle Anne Johnson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 453 Coventry Ln Ste 103, Crystal Lake, IL 60014 Phone: 847-778-6992 |