Leah M Blackburn, LPC
Counselor, Professional in Temple, TX. Individual provider (NPI-1).
NPI number1992931315
StatusActive
Last updated in NPPESJan 8, 2016
Details
- NPI
- 1992931315
- Entity type
- Individual (NPI-1)
- Name
- Leah M Blackburn
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2009
- Last updated
- Jan 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 60576 | TX | Yes |
Practice location
2401 S 31st StTemple, TX 76508-0001
Phone 254-724-2111
Mailing address
Po Box 844658Dallas, TX 75284-4658
Phone 254-724-8800
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