Jenifer Blackmore

NPI #1992166375 in Leesville, Louisiana

Provider Information

NPI Number: 1992166375
Entity Type: Individual
Name: Jenifer Blackmore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 14, 2016
Last Updated: Mar 14, 2016

Practice Location

Address: 1808 S 5TH ST
City: Leesville
State: Louisiana
ZIP Code: 71446-5308
Phone: (337) 238-4350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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