Blakeman Counseling LLC
Counselor, Professional in Springfield, IL. Organization (NPI-2).
NPI number1124615299
StatusActive
Last updated in NPPESApr 30, 2022
Details
- NPI
- 1124615299
- Entity type
- Organization (NPI-2)
- Legal business name
- Blakeman Counseling LLC
- Organization subpart
- No
- Enumeration date
- Dec 23, 2020
- Certification date
- Apr 30, 2022
- Last updated
- Apr 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
2151 W White Oaks Dr Ste DSpringfield, IL 62704-6410
Phone 217-779-7496
Mailing address
1717 Cuddy DrChatham, IL 62629-6000
Phone 217-779-7496
Authorized official
Jamie Lee Blakeman
Owner
2177797496
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