Jay Gerald Blazius

NPI #1215630025 in Macomb, Michigan

Provider Information

NPI Number
1215630025
Entity Type
Individual
Name
Jay Gerald Blazius
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
Mar 22, 2023
Last Updated
Mar 22, 2023

Practice Location

Address
47252 GRAND CYPRESS CT
City
Macomb
ZIP Code
48044-3025
Phone
(586) 872-5111

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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