MR. Mark R Blanco, M.A., SR. LPE

NPI #1174647226 in La Vergne, Tennessee

Provider Information

NPI Number
1174647226
Entity Type
Individual
Name
MR. Mark R Blanco, M.A., SR. LPE
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
M.A., SR. LPE
Enumeration Date
Mar 16, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1009 ASH CIR
ZIP Code
37086-4157
Phone
(615) 793-6513

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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