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

Mr. Mark R Blanco, MA, SRLPE

Individual provider Professional Counselor · NPI 1174647226

Mr. Mark R Blanco, MA, SRLPE is a Professional Counselor in LA Vergne, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1009 Ash Cir
LA Vergne, TN 37086-4157
Phone: (615) 793-6513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PE0000011423 (TN)

Record details

NPI number1174647226
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , SRLPE
Sole proprietorNo
NPI enumeratedMarch 16, 2007
Last updated in NPPESJuly 8, 2007

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