Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1124477054 |
---|---|
Provider Name | Blaise Morrison |
First Address | Chapel Hill, NC 27599-7205 |
Second Address | Chapel Hill, NC 27514-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2016 |
Last Update Date | 09/11/2021 |