Individual provider · Type 1 NPI

Jackie Lynn Blackburn

Mental Health Counselor · Prestonsburg, KY

NPI number 1922408996 Active

Practice location

104 S Front Ave
Prestonsburg, KY 41653-1614

Fax (606) 886-4433

Mailing address

32 Blackburn Ln
Pikeville, KY 41501-6800

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1922408996

Jackie Lynn Blackburn's National Provider Identifier is 1922408996, issued on Aug 27, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Prestonsburg, KY. The record was last updated on Nov 3, 2023.