Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor |
NPI | 1003175050 |
---|---|
Provider Name | Dawn C Blair |
First Address | Verona, PA 15147-3217 |
Second Address | Pittsburgh, PA 15208-2512 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2012 |
Last Update Date | 11/05/2012 |