Individual provider · Type 1 NPI
John Luther Blaylock
Mental Health Clinic/Center (Including Community Mental Health Center) · Phoenix, AZ
NPI number
1467129478
Active
Practice location
2432 W Peoria Ave
Phoenix, AZ 85029-4726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1467129478
John Luther Blaylock's National Provider Identifier is 1467129478, issued on Aug 26, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 30, 2021.