NPI 1245479674 · live from the CMS NPI Registry
Blair Counseling And Mediation PC
Counselor, Professional in Crystal Lake, IL. National Provider Identifier 1245479674, active.
NPI record
| NPI | 1245479674 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 27 Grant St, Crystal Lake, IL 60014 |
| Practice phone | 815-276-3947 |
| Enumerated | February 9, 2009 |
| Last updated | January 14, 2025 |
| Authorized official | Dan Blair, Owner |
| Other names | Blair Counseling |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Counselor, Professional primary | 101YP2500X | — |
| Marriage & Family Therapist | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.