Individual
MINDY BLAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 ADANTA CIR, ALBANY, KY 42602-9549
(606) 387-7635
(606) 387-5638
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
(606) 679-4782
(606) 678-5296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
248706
KY
101YP2500X
Professional Counselor
Primary
281232
KY
Other
Enumeration date
05/08/2018
Last updated
10/24/2022
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