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Jordan Blankenship

Counselor, Addiction (Substance Use Disorder) in Roanoke, VA. Individual provider (NPI-1).

NPI number1750185245
StatusActive
Last updated in NPPESApr 3, 2025

Details

NPI
1750185245
Entity type
Individual (NPI-1)
Name
Jordan Blankenship
Sex
Female
Sole proprietor
No
Enumeration date
Apr 3, 2025
Certification date
Apr 2, 2025
Last updated
Apr 3, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)0709026234VAYes

Practice location

3208 Hershberger Rd Nw
Roanoke, VA 24017-1842

Phone 540-912-4211

Mailing address

1649 Read Mountain Rd Ne
Roanoke, VA 24019-5845

Phone 540-759-0416

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