Individual
WHITNEY BLACKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
40 NW GREENWOOD AVE STE 130, BEND, OR 97703-2298
(541) 903-0446
Mailing address
40 NW GREENWOOD AVE STE 130, BEND, OR 97703-2298
(541) 903-0446
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C9671
OR
106S00000X
Behavior Technician
ABA-IN-10203718
OR
Other
Enumeration date
10/14/2019
Last updated
08/14/2026
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