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Courtney Jade Blackburn
Counselor in Kenton, Ohio
NPI 1134970304

Courtney Jade Blackburn is a Counselor based in Lima, OH. Courtney Jade Blackburn practices in Kenton, OH. The NPI Number for Courtney Jade Blackburn is 1134970304 and holds a License No. (Ohio).

The current practice location address for Courtney Jade Blackburn is 775 E Eliza St, Kenton, OH and can be reached out via phone at 419-679-1219.

Location: 775 E Eliza St, Kenton, OH, 45804-1240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134970304
Provider Name
Courtney Jade Blackburn
Credential
Provider Entity Type
Individual
Gender
Female
Address
775 E Eliza St, Kenton, OH, 45804-1240
Phone Number
419-679-1219
Fax Number
Provider Enumeration Date
03/27/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
775 E Eliza St
City
Kenton
State
Ohio
Zip
43326-1486
Phone Number
419-679-1219
Fax Number
person
Provider Business Mailing Address Details
Address
775 E Eliza St
City
Kenton
State
Ohio
Zip
43326-1486
Phone Number
419-679-1219
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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