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Individual

HOLLY BLACKBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCA

Contact information

Practice address
1100 WALNUT ST, OWENSBORO, KY 42301-2956
(270) 689-6558
Mailing address
1100 WALNUT ST, OWENSBORO, KY 42301-2956

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
251486
KY

Other

Enumeration date
09/03/2019
Last updated
09/03/2019
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