Individual
MS. JACKIE HYMAN BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED.,CDP
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3753
(360) 397-8246
(360) 397-8450
Mailing address
PO BOX 871206, VANCOUVER, WA 98687-1206
(360) 606-1672
(360) 397-8450
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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