Jolene Blackburn, CPCI

NPI #1043330830 in Ephraim, Utah

Provider Information

NPI Number: 1043330830
Entity Type: Individual
Name: Jolene Blackburn, CPCI
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: CPCI
Enumeration Date: Mar 29, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 390 W 100 N
City: Ephraim
State: Utah
ZIP Code: 84627-2131
Phone: (435) 283-4065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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