Provider Demographics
NPI:1538976527
Name:RARY, BLAIR KATHLEEN
Entity type:Individual
Prefix:
First Name:BLAIR
Middle Name:KATHLEEN
Last Name:RARY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 SANFORD ST APT F
Mailing Address - Street 2:
Mailing Address - City:RADFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24141-3187
Mailing Address - Country:US
Mailing Address - Phone:757-879-0470
Mailing Address - Fax:
Practice Address - Street 1:100 ARBOR DR STE 105
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-6585
Practice Address - Country:US
Practice Address - Phone:540-449-1102
Practice Address - Fax:888-338-9770
Is Sole Proprietor?:No
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor