Holen Blackburn Counseling Services, Llc | |
1000 Sagamore Pkwy N #207 Lafayette IN 47904-2461 | |
(765) 446-0006 | |
Not Available |
Full Name | Holen Blackburn Counseling Services, Llc |
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Speciality | Community/behavioral Health |
Location | 1000 Sagamore Pkwy N, Lafayette, Indiana |
Authorized Official Name and Position | Holen Blackburn (CEO, MENTAL HEALTH THERAPIST) |
Authorized Official Contact | 7654460006 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Holen Blackburn Counseling Services, Llc 1000 Sagamore Pkwy N #207 Lafayette IN 47904-2461 Ph: (765) 446-0006 | Holen Blackburn Counseling Services, Llc 1000 Sagamore Pkwy N #207 Lafayette IN 47904-2461 Ph: (765) 446-0006 |
NPI Number | 1396121182 |
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Provider Enumeration Date | 08/04/2015 |
Last Update Date | 04/11/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396121182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 39002659A (Indiana) | Primary |
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