Provider Demographics
NPI:1467781971
Name:BLUM, JONI SUE (LPC)
Entity Type:Individual
Prefix:
First Name:JONI
Middle Name:SUE
Last Name:BLUM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 WARDEN RUN RD
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-6184
Mailing Address - Country:US
Mailing Address - Phone:304-243-8437
Mailing Address - Fax:304-243-3078
Practice Address - Street 1:815 WARDEN RUN RD
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-6184
Practice Address - Country:US
Practice Address - Phone:304-243-8437
Practice Address - Fax:304-243-3078
Is Sole Proprietor?:No
Enumeration Date:2009-12-11
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional