Provider Demographics
NPI:1922378934
Name:BLIZZARD, KARI MCCROBIE (MA, MA, NCC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:MCCROBIE
Last Name:BLIZZARD
Suffix:
Gender:F
Credentials:MA, MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 SCOTT AVE STE 228
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-8839
Mailing Address - Country:US
Mailing Address - Phone:304-292-1716
Mailing Address - Fax:304-292-1766
Practice Address - Street 1:165 SCOTT AVE STE 228
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-8839
Practice Address - Country:US
Practice Address - Phone:304-292-1716
Practice Address - Fax:304-292-1766
Is Sole Proprietor?:No
Enumeration Date:2012-01-06
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2208101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional