Provider Demographics
NPI:1477698637
Name:BLASER, LINDA B (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:B
Last Name:BLASER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:L
Other - Last Name:BLASER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 GROVER CT
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:OH
Mailing Address - Zip Code:44044-1510
Mailing Address - Country:US
Mailing Address - Phone:440-458-6243
Mailing Address - Fax:440-234-2072
Practice Address - Street 1:429 FRONT ST
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:OH
Practice Address - Zip Code:44017
Practice Address - Country:US
Practice Address - Phone:440-234-1900
Practice Address - Fax:440-234-2072
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE2404101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional