Individual provider · Type 1 NPI
Amanda Blackburn, PSY.D.
Professional Counselor · Chattanooga, TN
NPI number
1104156850
Active
Practice location
1815 Mccallie Ave
Chattanooga, TN 37404-3026
Fax (423) 756-2899
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC2540 (TN) |
Professional Counselor: Definition to come...
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About NPI 1104156850
Amanda Blackburn, PSY.D.'s National Provider Identifier is 1104156850, issued on Dec 31, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chattanooga, TN. The record was last updated on May 17, 2010.