Deborah Blastic
Counselor, Addiction (Substance Use Disorder) in Marlton, NJ. Individual provider (NPI-1).
NPI number1558488106
StatusActive
Last updated in NPPESJul 26, 2007
Details
- NPI
- 1558488106
- Entity type
- Individual (NPI-1)
- Name
- Deborah Blastic
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2007
- Last updated
- Jul 26, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | PA | Yes |
Practice location
5000 Sagemore Dr Ste 205Marlton, NJ 08053-4332
Phone 856-985-3030
Mailing address
206 Crooked Billet RdHatboro, PA 19040-3916
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