Individual provider · Type 1 NPI

Byron Blackburn

Mental Health Counselor · West Frankfort, IL

NPI number 1508223306 Active

Practice location

902 W Main St
West Frankfort, IL 62896-2210

Fax (618) 937-1440

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508223306

Byron Blackburn's National Provider Identifier is 1508223306, issued on Jan 25, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Frankfort, IL. The record was last updated on Jan 25, 2016.