Individual provider · Type 1 NPI

Melissa Sue Blackburn, LPC

Mental Health Counselor · Tishomingo, OK

NPI number 1376817031 Active

Practice location

610 E 24th St
Tishomingo, OK 73460-3245

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	LPC05238 (OK)

Mental Health Counselor: Definition to come...

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Ashley Dawn Rogers, LCSWClinical Social Worker Tishomingo, OK NPI 1679842421
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About NPI 1376817031

Melissa Sue Blackburn, LPC's National Provider Identifier is 1376817031, issued on Feb 28, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tishomingo, OK. The record was last updated on Dec 20, 2022.