Natosha D Blanton

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Jackson, OH

NPI 1407544083 · NPPES record last updated May 1, 2023

Key facts

NPI
1407544083
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
502 McCarty LN Ste 1
Jackson, OH 45640-7025
Phone
(740) 577-9003
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

502 McCarty LN Ste 1
Jackson, OH 45640-7025

Mailing address

502 McCarty LN Ste 1
Jackson, OH 45640-7025
Phone (740) 577-9003

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address tblanton@thephoenixcenters.com Direct

Other providers in Jackson, OH

All providers in Jackson, OH · Addiction (Substance Use Disorder) Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.