| Doctor Name: | TAMMY L. BLAKENEY |
| NPI Number: | 1194103150 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCMHC |
| License Number: | 068.0094515 |
| Business Practice Address: | S. Main Street Gates-briggs Building Suite 314 White River Junction, VT - 05001 |
| Business Phone Number: | 6032522868 |
| Business Fax Number: | |
| Mailing Address: | Po Box 4114, WHITE RIVER JUNCTION |
| State: | VT |
| Postal Code: | 050014114 |
| Phone Number: | 6032522868 |
| Fax Number: | |
| NPI Enumeration Date: | 05/11/2015 |
| NPI Last Update Date: | 05/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 068.0094515 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |