Individual provider · Type 1 NPI

Holen Blackburn

Mental Health Counselor · Lafayette, IN

NPI number 1063805380 Active

Practice location

1000 Sagamore Pkwy N, #207
Lafayette, IN 47904-2461

Call (765) 446-0006 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X39002659A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1063805380

Holen Blackburn's National Provider Identifier is 1063805380, issued on Mar 11, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lafayette, IN. The record was last updated on Apr 9, 2017.