Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANTHONY JEROME BLALOCK JR., B.S. QMHP
Active Sole ProprietorCounselor · PETERSBURG, VA
Registration Details
- NPI Number
- 1184132151
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2018 (8.2719243337325 yrs)
- Last Updated
- Jan 12, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
210 LILY WAY APT 3BPETERSBURG, VA, 238059161Browse VA providers · Browse ZIP 23805
- Phone
- 7577708214
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in PETERSBURG, VA
| Name | Credential | NPI |
|---|---|---|
| SAMUEL J NORTHINGTON JR. | — | 1174135461 |
| MRS. JEWEL MUNFORD | — | 1992506547 |
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.