Individual
KAITLYN BLAGBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
4110 US HIGHWAY 31 S, DECATUR, AL 35603-1644
(256) 260-7360
(256) 355-6092
Mailing address
1316 SOMERVILLE RD SE, DECATUR, AL 35601-4305
(256) 260-7361
(256) 355-6092
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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