Individual
JOHN C BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PC
Contact information
Practice address
3130 N DIXIE HWY, TROY, OH 45373-1337
(937) 440-7001
(937) 440-7076
Mailing address
3130 N DIXIE HWY, TROY, OH 45373-1337
(937) 440-7001
(937) 440-7076
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C0004511
OH
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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