Jessika Blair London, CM

NPI #1285904680 in Martin, Tennessee

Provider Information

NPI Number: 1285904680
Entity Type: Individual
Name: Jessika Blair London, CM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: CM
Enumeration Date: Jan 3, 2012
Last Updated: Jan 19, 2016

Practice Location

Address: 457 HANNINGS LN
City: Martin
State: Tennessee
ZIP Code: 38237-3307
Phone: (731) 541-8344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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