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Calvin Blackham, MSW
Mental Health Counselor in Pendleton, Oregon
NPI 1043309297

Calvin Blackham is a Mental Health Counselor based in Ontario, OR and is specialized in Mental Health. Calvin Blackham practices in Pendleton, OR and has the professional credentials of MSW. The NPI Number for Calvin Blackham is 1043309297 and holds a License No. (Oregon).

The current practice location address for Calvin Blackham is 331 Se 2Nd St, Pendleton, OR and can be reached out via phone at 541-276-6207 and via fax at 541-276-4628. You can also correspond with Calvin Blackham through the mailing address at PO BOX 1290, ONTARIO, OR - 97914-0136 (mailing address contact number: 541-889-9167).

Location: 331 Se 2Nd St, Pendleton, OR, 97914-0136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043309297
Provider Name
Calvin Blackham
Credential
MSW
Provider Entity Type
Individual
Gender
Male
Address
331 Se 2Nd St, Pendleton, OR, 97914-0136
Phone Number
541-276-6207
Fax Number
541-276-4628
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
331 Se 2Nd St
City
Pendleton
State
Oregon
Zip
97801-2224
Phone Number
541-276-6207
Fax Number
541-276-4628
person
Provider Business Mailing Address Details
Address
331 Se 2Nd St
City
Pendleton
State
Oregon
Zip
97801-2224
Phone Number
541-276-6207
Fax Number
541-276-4628
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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