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1366106312
JUSTIN C BLACKBURN
GRUNDY, VA
NPI
1366106312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: VA 0701010929)
Enumeration Date
2021-10-26
Last Update Date
2021-10-26
Business Address
JUSTIN C BLACKBURN LPC
1520 SLATE CREEK RD STE 201
GRUNDY, VA 24614-6975
Phone number: 276-242-2001
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Mailing Address
JUSTIN C BLACKBURN LPC
PO BOX 390
HUNTINGTON, WV 25708-0390
Phone number: 304-696-1636
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