MR. Anthony Jerome Blalock JR., B.S. QMHP
NPI #1184132151 in Petersburg, Virginia
Provider Information
- NPI Number
- 1184132151
- Entity Type
- Individual
- Name
- MR. Anthony Jerome Blalock JR., B.S. QMHP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Credential
- B.S. QMHP
- Enumeration Date
- Jan 12, 2018
- Last Updated
- Jan 12, 2018
Practice Location
- Address
- 210 LILY WAY APT 3B
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23805-9161
- Phone
- (757) 770-8214
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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