Blanton, Mariellen E

Blanton, Mariellen E is an individual health care provider with primary practice located at 79 E Windsor Blvd , Windsor VA 23487-9410. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Blanton, Mariellen E can be contacted via phone (757) 242-9988.

Contact Information

Primary practice address
79 E Windsor Blvd Windsor VA 23487-9410
Phone: (757) 242-9988
Fax: (757) 242-3647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710101448 Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904006099 Virginia

Profile Details

NPI number 1245270909
LBN Legal business name Blanton, Mariellen E
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Mar 19th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245270909 NPPES
Virginia Other 194059 BSVA
Virginia Other 2143183 BSVA
Virginia Other 248016 BSVA
Virginia Other O88709M BSVA
Virginia Other 1322073 BSVA
Virginia Other 268230 BSVA
Virginia Other 374444 BSVA

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