Whalio Doctors

NPI 1194024570

Heather Blackmon, LMFT

Practitioner Marriage & Family Therapist Jackson, MS

Practice location

Address
3450 Highway 80 W, Jackson, MS 39209-7201
Phone
(601) 321-2400
Fax
(601) 321-2476

Registered specialties

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence MFT1034 (LA)

Registry record

NPI
1194024570
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Mar 2011
Record last updated
24 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.