Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Anthony Jerome Blalock Jr., BSQMHP

Individual provider Counselor · NPI 1184132151

Mr. Anthony Jerome Blalock Jr., BSQMHP is a Counselor in Petersburg, Virginia. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

210 Lily Way Apt 3B
Petersburg, VA 23805-9161
Phone: (757) 770-8214
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1184132151
Entity typeIndividual (Type 1)
GenderMale
Credentials BSQMHP
Sole proprietorYes
NPI enumeratedJanuary 12, 2018
Last updated in NPPESJanuary 12, 2018

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