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Anthony Blalock, B.S. QMHP — NPI 1184132151, Petersburg, VA | NPI Central

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NPI 1184132151

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Anthony Blalock, B.S. QMHP

NPI 1184132151 · Counselor · Petersburg, VA

Provider details

NPI number: 1184132151
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Credential: B.S. QMHP
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

CounselorPrimary101Y00000X
Behavioral Health & Social Service Providers

Practice location

210 Lily Way Apt 3b

Petersburg, VA 23805-9161

Phone: (757) 770-8214

Approximate (ZIP-level) locationGet directions

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Mailing address

210 Lily Way Apt 3b

Petersburg, VA 23805-9161

Registry dates

Enumerated: 2018-01-12
Last updated: 2018-01-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.