person
Mary Blackmon, CPRC
Addiction (Substance Use Disorder) Counselor in Canton, Michigan
NPI 1033796107

Mary Blackmon is an Addiction (Substance Use Disorder) Counselor based in Canton, MI and is specialized in Addiction (Substance Use Disorder). Mary Blackmon practices in Canton, MI and has the professional credentials of CPRC. The NPI Number for Mary Blackmon is 1033796107 and holds a License No. (Michigan).

The current practice location address for Mary Blackmon is 50430 School House Rd, Canton, MI and can be reached out via phone at 734-431-2357. You can also correspond with Mary Blackmon through the mailing address at 50430 SCHOOL HOUSE RD, CANTON, MI - 48187-5910 (mailing address contact number: ).

Location: 50430 School House Rd, Canton, MI, 48187-5910
person
Provider Profile Details
NPI Number
1033796107
Provider Name
Mary Blackmon
Credential
CPRC
Provider Entity Type
Individual
Gender
Female
Address
50430 School House Rd, Canton, MI, 48187-5910
Phone Number
734-431-2357
Fax Number
Provider Enumeration Date
03/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
50430 School House Rd
City
State
Zip
48187-5910
Phone Number
734-431-2357
Fax Number
person
Provider Business Mailing Address Details
Address
50430 School House Rd
City
State
Zip
48187-5910
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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