Individual
MRS. JAMIE LEE BLAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2151 W WHITE OAKS DR STE D, SPRINGFIELD, IL 62704-6410
(217) 779-7496
Mailing address
1717 CUDDY DR, CHATHAM, IL 62629-6000
(217) 779-7496
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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