Courtney Jade Blackburn

NPI #1134970304 in Kenton, Ohio

Provider Information

NPI Number: 1134970304
Entity Type: Individual
Name: Courtney Jade Blackburn
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Mar 27, 2024
Last Updated: Mar 27, 2024

Practice Location

Address: 775 E ELIZA ST
City: Kenton
State: Ohio
ZIP Code: 43326-1486
Phone: (419) 679-1219

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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