person
Mrs. Latisha Ann Blackmon
Addiction (Substance Use Disorder) Counselor in Fresno, California
NPI 1134249279

Latisha Ann Blackmon is an Addiction (Substance Use Disorder) Counselor based in Fresno, CA and is specialized in Addiction (Substance Use Disorder). Latisha Ann Blackmon practices in Fresno, CA. The NPI Number for Latisha Ann Blackmon is 1134249279 and holds a License No. (California).

The current practice location address for Latisha Ann Blackmon is 4032 E Clinton Ave, Fresno, CA and can be reached out via phone at 559-265-4800 and via fax at 559-265-4823.

Location: 4032 E Clinton Ave, Fresno, CA, 93703-2519
person
Provider Profile Details
NPI Number
1134249279
Provider Name
Latisha Ann Blackmon
Credential
Provider Entity Type
Individual
Gender
Female
Address
4032 E Clinton Ave, Fresno, CA, 93703-2519
Phone Number
559-265-4800
Fax Number
559-265-4823
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4032 E Clinton Ave
City
State
Zip
93703-2519
Phone Number
559-265-4800
Fax Number
559-265-4823
person
Provider Business Mailing Address Details
Address
4032 E Clinton Ave
City
State
Zip
93703-2519
Phone Number
559-265-4800
Fax Number
559-265-4823
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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