Theresa M Blazek, LCPC

NPI #1114003381 in Billings, Montana

Provider Information

NPI Number: 1114003381
Entity Type: Individual
Name: Theresa M Blazek, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LCPC
Enumeration Date: Oct 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 208 N BROADWAY
Address 2: STE 423 YELLOWSTONE COUNSELING CENTER
City: Billings
State: Montana
ZIP Code: 59101
Phone: (406) 896-8427

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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