Kristina H Blanchek, MDIV

Individual provider Active NPI Mental Health Counselor · Bunnell, FL

NPI 1932945052 · NPPES record last updated Jul 8, 2024

Key facts

NPI
1932945052
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
3389 N State St
Bunnell, FL 32110-4340
Phone
(386) 271-2130
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
No

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
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

3389 N State St
Bunnell, FL 32110-4340

Mailing address

3389 N State St
Bunnell, FL 32110-4340
Phone (386) 271-2130

Other providers in Bunnell, FL

All providers in Bunnell, FL · Mental Health Counselor in Florida

Sources for this page

Verify at the official NPI Registry.