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NPI 1043330830

IndividualActive

Jolene Blackburn, CPCI

NPI 1043330830 · Counselor · Ephraim, UT

Provider details

NPI number: 1043330830
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Credential: CPCI
Sex: Female
Sole proprietor: Yes

Practice location

390 W 100 N

Ephraim, UT 84627-2131

Phone: (435) 283-4065

Fax: (435) 283-5387

More UT providers

Mailing address

255 W Main St

Mount Pleasant, UT 84647-1331

Registry dates

Enumerated: 2007-03-29
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jolene Blackburn, CPCI — NPI 1043330830, Ephraim, UT | NPI Central