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Blaine Paul Brockman
Professional Counselor in West Jefferson, Ohio
NPI 1649937681

Blaine Paul Brockman is a Professional Counselor based in West Jefferson, OH and is specialized in Professional. Blaine Paul Brockman practices in West Jefferson, OH. The NPI Number for Blaine Paul Brockman is 1649937681 and holds a License No. (Ohio).

The current practice location address for Blaine Paul Brockman is 765 Lakeview Dr, West Jefferson, OH and can be reached out via phone at 614-296-6391.

Location: 765 Lakeview Dr, West Jefferson, OH, 43162-9587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649937681
Provider Name
Blaine Paul Brockman
Credential
Provider Entity Type
Individual
Gender
Male
Address
765 Lakeview Dr, West Jefferson, OH, 43162-9587
Phone Number
614-296-6391
Fax Number
Provider Enumeration Date
11/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
765 Lakeview Dr
City
West Jefferson
State
Ohio
Zip
43162-9587
Phone Number
614-296-6391
Fax Number
person
Provider Business Mailing Address Details
Address
765 Lakeview Dr
City
West Jefferson
State
Ohio
Zip
43162-9587
Phone Number
614-296-6391
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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