RANDY BLIZZARD M.DIV. LPC NPI 1619138195

NPI Information

NPI: 1619138195
Provider Name: RANDY BLIZZARD, M.DIV., LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2723 E RUSSELL RD
LAS VEGAS, NV
ZIP 89120
Phone: (702) 248-4547
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Randy Blizzard, M.DIV., LPC is a professional counselor in Las Vegas, NV. Randy Blizzard, M.DIV., LPC NPI is 1619138195. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2723 E RUSSELL RD
LAS VEGAS, NV
ZIP 89120-426
Phone: (702) 248-4547

The enumeration date for this NPI number is 6/18/2008 and was last updated on 1/25/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP1600X	Counselor	Pastoral		NEVADA	No
2	101YP2500X	Counselor	Professional		NEVADA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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