Provider Demographics
NPI:1649406299
Name:BLOUNT, DARREN (BA)
Entity Type:Individual
Prefix:MR
First Name:DARREN
Middle Name:
Last Name:BLOUNT
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 FRENCH KING HWY
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-1337
Mailing Address - Country:US
Mailing Address - Phone:413-386-3719
Mailing Address - Fax:
Practice Address - Street 1:63 FRENCH KING HWY
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-1337
Practice Address - Country:US
Practice Address - Phone:413-386-3719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health