Individual
EMMA BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 HAWKS DR, BATAVIA, IL 60510-3801
(630) 966-4078
Mailing address
2400 HAWKS DR, BATAVIA, IL 60510-3801
(630) 966-4078
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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