Justin C Blackburn, LPC

NPI #1366106312 in Grundy, Virginia

Provider Information

NPI Number
1366106312
Entity Type
Individual
Name
Justin C Blackburn, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Credential
LPC
Enumeration Date
Oct 26, 2021
Last Updated
Oct 26, 2021

Practice Location

Address
1520 SLATE CREEK RD STE 201
City
Grundy
ZIP Code
24614-6975
Phone
(276) 242-2001

Specialties & Taxonomy Codes

Specialty
Counselor

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