Individual provider · NPI-1
Debra Ann Blizzard, LMHC
Counselor, Mental Health · Greenacres, FL
NPI number1730504135
StatusActive
Last updated in NPPESFeb 22, 2014
Details
- NPI
- 1730504135
- Entity type
- Individual (NPI-1)
- Name
- Debra Ann Blizzard
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2014
- Last updated
- Feb 22, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MH12005 | FL | Yes |
Practice location
6801 Lake Worth RdSuite 101
Greenacres, FL 33467-2955
Phone 561-329-9672
Mailing address
4786 Richmond MewsHaverhill, FL 33415-1337
Phone 561-329-9672
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