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Contact Information

KRISTY E BLALOCK, LCPC, NCC
8028 RITCHIE HWY
SUITE 308
PASADENA, MD21122-1075
 Phone: 410-761-0725
 Fax: 410-761-2412
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for KRISTY E BLALOCK · (Female)

NPI Number 1922360247
Status Active
Credentials LCPC, NCC
Entity Individual
Enumeration date 06/12/2012
Last updated 07/21/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # 12860
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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