Individual provider · NPI-1

Jason Blackburn, C.P.S.S.

Case Manager/Care Coordinator · Harvey, LA

NPI number1669916797
StatusActive
Last updated in NPPESNov 8, 2019

Details

NPI
1669916797
Entity type
Individual (NPI-1)
Name
Jason Blackburn
Credential
C.P.S.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 8, 2016
Last updated
Nov 8, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator–LAYes
106S00000X Behavior Technician––

Practice location

1901 Westbank Expy
Suite 550
Harvey, LA 70058-4366

Phone 504-247-9120 · Fax 504-247-9125

Mailing address

1901 Westbank Expy
Suite 550
Harvey, LA 70058-4366

Phone 504-247-9120 · Fax 504-247-9125

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