MICHAEL ARLEN BLAYLOCK LPC
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1083476097- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC
- Status
- Active
Contact & Location
- Address
- 259 PHEASANT RD W UNIT 25, TWIN FALLS, ID, 833018040
- Phone
- (208) 280-3836
Specialties & Taxonomies
Counselor, Mental Health
Primary License: ID #10204