Organization
SHAWNE A BLACKBURN LPCC COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNE A. BLACKBURN LPCC (OWNER/REGISTERED AGENT)
(505) 263-3900
Entity
Organization
Contact information
Practice address
6604 BEAU CHENE NE, ALBUQUERQUE, NM 87111-6500
(505) 263-3900
Mailing address
6604 BEAU CHENE NE, ALBUQUERQUE, NM 87111-6500
(505) 263-3900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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