MS. Melissa Sue Blackburn, LPC
NPI #1376817031 in Tishomingo, Oklahoma
Provider Information
- NPI Number
- 1376817031
- Entity Type
- Individual
- Name
- MS. Melissa Sue Blackburn, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC
- Enumeration Date
- Feb 28, 2012
- Last Updated
- Dec 20, 2022
Practice Location
- Address
- 610 E 24TH ST
- City
- Tishomingo
- State
- Oklahoma
- ZIP Code
- 73460-3245
- Phone
- (580) 371-2343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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