| Blakeman Counseling Llc | |
|
2151 W White Oaks Dr Ste D Springfield IL 62704-6410 | |
| (217) 779-7496 | |
| Not Available |
| Full Name | Blakeman Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2151 W White Oaks Dr Ste D, Springfield, Illinois |
| Authorized Official Name and Position | Jamie Lee Blakeman (OWNER) |
| Authorized Official Contact | 2177797496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blakeman Counseling Llc 1717 Cuddy Dr Chatham IL 62629-6000 Ph: (217) 779-7496 | Blakeman Counseling Llc 2151 W White Oaks Dr Ste D Springfield IL 62704-6410 Ph: (217) 779-7496 |
| NPI Number | 1124615299 |
|---|---|
| Provider Enumeration Date | 12/23/2020 |
| Last Update Date | 04/30/2022 |
| Certification Date | 04/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124615299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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