Doctor Name: | MS. SIRENA JEAN BLAESSER |
NPI Number: | 1285604496 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | C005421 |
Business Practice Address: | 200 W Weaver St Carrboro, NC - 275106009 |
Business Phone Number: | 9193573093 |
Business Fax Number: | 9195856885 |
Mailing Address: | Po Box 1197, HILLSBOROUGH |
State: | NC |
Postal Code: | 272781197 |
Phone Number: | 9195856885 |
Fax Number: | 9195856885 |
NPI Enumeration Date: | 01/23/2006 |
NPI Last Update Date: | 11/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C005421 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |