Jamie Blalack
NPI #1629457833 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1629457833
- Entity Type
- Individual
- Name
- Jamie Blalack
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- May 20, 2015
- Last Updated
- May 20, 2015
Practice Location
- Address
- 3100 E NEW ORLEANS ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74014-3501
- Phone
- (918) 728-0072
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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