Judith Michelle Blakely
Judith Michelle Blakely is a Mental Health Counselor in Medford, Oregon. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
3200 Juanipero WayMedford, OR 97504-8580
Phone: (541) 816-4131
Fax: (458) 226-2163
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1093558066 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 17, 2024 |
| Last updated in NPPES | June 17, 2024 |
| Certification date | June 17, 2024 |
| Mailing address | 3587 Heathrow Way, Medford, OR 97504-4004 |
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