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NPI Code Detail

MEDICARE: MS. BARBARA J BLACKBURN MC. LMHC

MEDICARE:  MS. BARBARA J BLACKBURN  MC. LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLH00007200WA

General Provider Information

NPI Number : 1699825810
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BARBARA J BLACKBURN MC. LMHC
Provider Business Mailing Address
First Line : 1136 N 115TH ST
Second Line : UNIT A-106
City : SEATTLE
State : WA
Zip : 98133-8358
Country : US
Telephone Number : 206-354-8263
Fax Number : 206-628-0839
Provider Business Practice Location Address
First Line : 1370 STEWART ST
Second Line : SUITE 210
City : SEATTLE
State : WA
Zip : 98109-5424
Country : US
Telephone Number : 206-354-8263
Fax Number : 206-628-0839
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 07/08/2007

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