Individual provider · Type 1 NPI

Jeffrey Blackmon Blackmon

Mental Health Counselor · Jackson, MS

NPI number 1619469830 Active

Practice location

3450 Highway 80 W
Jackson, MS 39209

Fax (601) 985-5174

Mailing address

4684 Old Jackson Rd
Terry, MS 39170-9214

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1619469830

Jeffrey Blackmon Blackmon's National Provider Identifier is 1619469830, issued on Jun 4, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MS. The record was last updated on Aug 13, 2018.