person
Gerald Blackburn
Addiction (Substance Use Disorder) Counselor in Issaquah, Washington
NPI 1033661376

Gerald Blackburn is an Addiction (Substance Use Disorder) Counselor based in Issaquah, WA and is specialized in Addiction (Substance Use Disorder). Gerald Blackburn practices in Issaquah, WA. The NPI Number for Gerald Blackburn is 1033661376 and holds a License No. CP00003663 (Washington).

The current practice location address for Gerald Blackburn is 414 Front St N, Issaquah, WA and can be reached out via phone at 425-392-6367. You can also correspond with Gerald Blackburn through the mailing address at 414 FRONT ST N, ISSAQUAH, WA - 98027-2914 (mailing address contact number: 425-392-6367).

Location: 414 Front St N, Issaquah, WA, 98027-2914
person
Provider Profile Details
NPI Number
1033661376
Provider Name
Gerald Blackburn
Credential
Provider Entity Type
Individual
Gender
Male
Address
414 Front St N, Issaquah, WA, 98027-2914
Phone Number
425-392-6367
Fax Number
Provider Enumeration Date
11/03/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
414 Front St N
City
State
Zip
98027-2914
Phone Number
425-392-6367
Fax Number
person
Provider Business Mailing Address Details
Address
414 Front St N
City
State
Zip
98027-2914
Phone Number
425-392-6367
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP00003663 (Washington)
Definition
Definition to come...
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