Julie S. Blackburn, LCPC

NPI #1790173011 in Cedar Lake, Indiana

Provider Information

NPI Number: 1790173011
Entity Type: Individual
Name: Julie S. Blackburn, LCPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: Jan 8, 2015
Last Updated: May 31, 2023

Practice Location

Address: 13947 ANNAPOLIS CT
City: Cedar Lake
State: Indiana
ZIP Code: 46303-7805
Phone: (815) 556-9471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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