MR. ANTHONY BLALOCK JR., B.S. QMHP

Counselor

Active Individual
NPI: 1184132151

Practice Address

210 LILY WAY APT 3B
Petersburg, VA 23805

Phone: (757) 770-8214

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1184132151 is the National Provider Identifier for MR. ANTHONY BLALOCK JR., B.S. QMHP, a Counselor provider located in Petersburg, VA. This NPI was enumerated on January 12, 2018.
MR. ANTHONY BLALOCK JR., B.S. QMHP practices at 210 LILY WAY APT 3B, Petersburg, VA 23805.

Quick Facts

NPI
1184132151
Type
Individual
Enumerated
Jan 12, 2018
Last Updated
Jan 12, 2018

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