Individual provider · Type 1 NPI

Jolene Blackburn, CPCI

Counselor · Ephraim, UT

NPI number 1043330830 Active

Practice location

390 W 100 N
Ephraim, UT 84627-2131

Fax (435) 283-5387

Mailing address

255 W Main St
Mount Pleasant, UT 84647-1331

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1043330830

Jolene Blackburn, CPCI's National Provider Identifier is 1043330830, issued on Mar 29, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Ephraim, UT. The record was last updated on Jul 8, 2007.