JOHNNY LEE BLACKMON

TULARE, CA
NPI1982941647
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  85029)
Enumeration Date2013-01-14
Last Update Date2023-12-13
Business Address
JOHNNY LEE BLACKMON LMFT
201 N K ST
TULARE, CA 93274-4005
Phone number: 559-687-0929
Mailing Address
JOHNNY LEE BLACKMON LMFT
201 N K ST
TULARE, CA 93274-4005
Phone number: 559-687-0929
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