Individual
JODI S. BLAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
XL3756
ME
101YP2500X
Professional Counselor
Primary
CC4455
ME
101YP2500X
Professional Counselor
XL3756
ME
Other
Enumeration date
03/03/2011
Last updated
06/06/2019
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