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Byron Blackburn
Mental Health Counselor in West Frankfort, Illinois
NPI 1508223306

Byron Blackburn is a Mental Health Counselor based in West Frankfort, IL and is specialized in Mental Health. Byron Blackburn practices in West Frankfort, IL. The NPI Number for Byron Blackburn is 1508223306 and holds a License No. (Illinois).

The current practice location address for Byron Blackburn is 902 W Main St, West Frankfort, IL and can be reached out via phone at 618-937-6483 and via fax at 618-937-1440.

Location: 902 W Main St, West Frankfort, IL, 62896-2210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508223306
Provider Name
Byron Blackburn
Credential
Provider Entity Type
Individual
Gender
Male
Address
902 W Main St, West Frankfort, IL, 62896-2210
Phone Number
618-937-6483
Fax Number
618-937-1440
Provider Enumeration Date
01/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
902 W Main St
City
West Frankfort
State
Illinois
Zip
62896-2210
Phone Number
618-937-6483
Fax Number
618-937-1440
person
Provider Business Mailing Address Details
Address
902 W Main St
City
West Frankfort
State
Illinois
Zip
62896-2210
Phone Number
618-937-6483
Fax Number
618-937-1440
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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