Gaylen Blassingame, GAYLEN BLASSINGAME

NPI #1871824375 in Colleyville, Texas

Provider Information

NPI Number: 1871824375
Entity Type: Individual
Name: Gaylen Blassingame, GAYLEN BLASSINGAME
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: GAYLEN BLASSINGAME
Enumeration Date: Jan 22, 2010
Last Updated: Jan 22, 2010

Practice Location

Address: 4307 BROOKHOLLOW DRIVE
City: Colleyville
State: Texas
ZIP Code: 76034-7603
Phone: (817) 565-2389

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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