Individual
JORDAN BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3208 HERSHBERGER RD NW, ROANOKE, VA 24017-1842
(540) 912-4211
Mailing address
1649 READ MOUNTAIN RD NE, ROANOKE, VA 24019-5845
(540) 759-0416
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0709026234
VA
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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