Organization
HOLEN BLACKBURN COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLEN BLACKBURN MA, NCC, LMHC (CEO, MENTAL HEALTH THERAPIST)
(765) 446-0006
Entity
Organization
Contact information
Practice address
1000 SAGAMORE PKWY N, #207, LAFAYETTE, IN 47904-2461
(765) 446-0006
Mailing address
1000 SAGAMORE PKWY N, #207, LAFAYETTE, IN 47904-2461
(765) 446-0006
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
39002659A
IN
Other
Enumeration date
08/04/2015
Last updated
04/11/2017
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