Individual provider · Type 1 NPI

Jerry D. Blaylock, MD

Mental Health Counselor · Jonesboro, AR

NPI number 1922038975 Active

Practice location

901 S Church St
Jonesboro, AR 72401-4105

Call (870) 935-0360 Map

Fax (870) 972-8603

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC4264 (AR)

Mental Health Counselor: Definition to come...

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About NPI 1922038975

Jerry D. Blaylock, MD's National Provider Identifier is 1922038975, issued on Jul 4, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jonesboro, AR. The record was last updated on Sep 22, 2011.