Individual
MRS. JAMIE LEE BLAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.009508
IL
101YP2500X
Professional Counselor
Primary
180.009996
IL
Other
Enumeration date
12/02/2013
Last updated
04/30/2022
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