Jeffrey Blackmon Blackmon
Jeffrey Blackmon Blackmon is a Mental Health Counselor in Jackson, Mississippi. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
3450 Highway 80 WJackson, MS 39209
Phone: (601) 321-2400
Fax: (601) 985-5174
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1619469830 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 4, 2018 |
| Last updated in NPPES | August 13, 2018 |
| Mailing address | 4684 Old Jackson Rd, Terry, MS 39170-9214 |
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