WANDA SIENA BLANCO LPCMH
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1245471952- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPCMH
- Status
- Active
Contact & Location
- Address
- 651 N BROAD ST STE 205 #4462, MIDDLETOWN, DE, 197096402
- Phone
- (302) 985-9831
Specialties & Taxonomies
Counselor, Professional
License: MD #lc8003
Counselor, Mental Health
Primary License: DE #PC0000797