| Earlene Blevins, Ma, Lpc | |
|
221 Garland St Suite M Traverse City MI 49684-2271 | |
| (231) 486-0119 | |
| (231) 486-0119 |
| Full Name | Earlene Blevins, Ma, Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 221 Garland St, Traverse City, Michigan |
| Authorized Official Name and Position | Earlene Blevins (OWNER) |
| Authorized Official Contact | 2317353256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Earlene Blevins, Ma, Lpc 221 Garland St Suite M Traverse City MI 49684-2271 Ph: (231) 486-0119 | Earlene Blevins, Ma, Lpc 221 Garland St Suite M Traverse City MI 49684-2271 Ph: (231) 486-0119 |
| NPI Number | 1306394564 |
|---|---|
| Provider Enumeration Date | 09/16/2016 |
| Last Update Date | 09/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306394564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401009566 (Michigan) | Primary |
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