NPI Profile for ROY A BLANKENSHIP in KENNESAW, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Marriage & Family Therapist |
106H00000X |
| NPI Number | 1609078500 |
|
| Status | Active | |
| Credentials | LPC,LMFT,CCADC, CSAT | |
| Entity | Individual | |
| Enumeration date | 06/03/2007 | |
| Last updated | 06/04/2025 - About 12 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ROY A BLANKENSHIP
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