Jackie Denise Blanton LPC

NPI 1366636284 - Counselor - 101YP2500X

NPI Details
NPI 1366636284
Gender Female
Enumeration Date 09/04/2007
Last Updated 09/04/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2375 E MAIN ST
SPARTANBURG SC, 29307-1434, US
Phone (864) 978-7086
Business Location
MOORE SC, 29369-0096, US
Phone (864) 978-7086
Taxonomy Code 101YP2500X
License State South Carolina
License Number 2765
Remove 1366636284 NPI Number

According to our database, Miss Jackie Denise Blanton LPC NPI is 1366636284, taxonomy code is 101YP2500X and license number is 2765, license state is located at South Carolina. Jackie Denise Blanton LPC physically located at 2375 E Main St, Spartanburg SC, 29307-1434. NPI Number Jackie Denise Blanton LPC has the Individual type.

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1366636284 NPI number is provided on an as is basis without warranty of any kind. 1366636284 is maintained by the National Plan & Provider Enumeration System. The contents of Jackie Denise Blanton LPC are for informational purposes only.