| Doctor Name: | JESSICA BLACKBURN CALL |
| NPI Number: | 1083926018 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | 7923 |
| Business Practice Address: | 204 Jefferson St Suite 106 North Wilkesboro, NC - 286593586 |
| Business Phone Number: | 3368381644 |
| Business Fax Number: | 3366677720 |
| Mailing Address: | Po Box 1656, NORTH WILKESBORO |
| State: | NC |
| Postal Code: | 286591656 |
| Phone Number: | 3368381644 |
| Fax Number: | 3366677720 |
| NPI Enumeration Date: | 07/07/2010 |
| NPI Last Update Date: | 04/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 7923 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |