| Doctor Name: | DR. WENDY BLEVINS |
| NPI Number: | 1023397312 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PCC, NCC, LCDC-III |
| License Number: | 111075 |
| Business Practice Address: | 2113 S 7th St Ironton, OH - 456382538 |
| Business Phone Number: | 7405330055 |
| Business Fax Number: | |
| Mailing Address: | 2113 S 7th St, IRONTON |
| State: | OH |
| Postal Code: | 456382538 |
| Phone Number: | 7405330055 |
| Fax Number: | |
| NPI Enumeration Date: | 08/04/2011 |
| NPI Last Update Date: | 08/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 111075 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |