Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK R BLANCO, M.A., SR. LPE
ActiveMR. MARK R BLANCO, M.A., SR. LPE is a Professional Counselor healthcare provider located in LA VERGNE, Tennessee. NPI 1174647226 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · LA VERGNE, TN
Registration Details
- NPI Number
- 1174647226
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 16, 2007 (19.232784117954 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PE0000011423 (TN)
Practice Information
- Address
-
1009 ASH CIRLA VERGNE, TN, 370864157Browse TN providers · Browse ZIP 37086
- Phone
- 6157936513
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in LA VERGNE, TN
| Name | Credential | NPI |
|---|---|---|
| TAMATHA WORD | — | 1548706419 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.