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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PHYLLIS A BLAIR, PHD, LPCC

Active Sole Proprietor

DR. PHYLLIS A BLAIR, PHD, LPCC is a Mental Health Counselor healthcare provider located in ABIQUIU, New Mexico. NPI 1891866943 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · ABIQUIU, NM

Registration Details

NPI Number
1891866943
Provider Type
Individual
Gender
Female
NPI Issued
Nov 12, 2006 (19.768520391578 yrs)
Last Updated
Jul 17, 2007
License
NM LPCC 2380 (NM)
Sole Proprietor
Yes

Practice Information

Address
HWY 554 GATE 110
ABIQUIU, NM, 875100631
Browse NM providers · Browse ZIP 87510
Phone
5056854052
Primary Specialty
Mental Health Counselor
101YM0800X
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.