Provider Demographics
NPI:1124477054
Name:MORRISON, BLAISE (LPC, CRC)
Entity type:Individual
Prefix:
First Name:BLAISE
Middle Name:
Last Name:MORRISON
Suffix:
Gender:M
Credentials:LPC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:321 S COLUMBIA STREET BONDURANT HALL CB# 7205
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7205
Mailing Address - Country:US
Mailing Address - Phone:919-966-8788
Mailing Address - Fax:919-966-5200
Practice Address - Street 1:1807 FORDHAM BLVD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2200
Practice Address - Country:US
Practice Address - Phone:984-974-9747
Practice Address - Fax:984-974-9786
Is Sole Proprietor?:No
Enumeration Date:2016-06-10
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program