Blalock, Kristy Eleanor

Blalock, Kristy Eleanor is an sole proprietor health care provider with primary practice located at 8028 Ritchie Hwy Suite 308, Pasadena MD 21122-1075. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Blalock, Kristy Eleanor can be contacted via phone (410) 761-0725.

Contact Information

Primary practice address
8028 Ritchie Hwy Suite 308 Pasadena MD 21122-1075
Phone: (410) 761-0725
Fax: (410) 761-2412
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 12860 Maryland
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12860 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 12860 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X 12860 Maryland

Profile Details

NPI number 1922360247
LBN Legal business name Blalock, Kristy Eleanor
Credentials LCPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2012
Last updated Jul 21st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers