Doctor Name: | CECELIA BLUE |
NPI Number: | 1912217845 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 500 Spring Rd 275 Ingleside, IL - 600410275 |
Business Phone Number: | 3123392221 |
Business Fax Number: | |
Mailing Address: | Po Box 20247, ALBUQUERQUE |
State: | NM |
Postal Code: | 871540247 |
Phone Number: | 3123392221 |
Fax Number: | |
NPI Enumeration Date: | 10/13/2010 |
NPI Last Update Date: | 03/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |