Keith J Blackburn
Counselor, Addiction (Substance Use Disorder) in Gardner, Massachusetts
1275114977- Practice location
- 171 Graham St, Gardner, MA 01440-3847
- Phone
- 978-632-4574
- Fax
- —
- Last updated
- April 15, 2021
Keith Jeremy Blackburn is a Counselor, Addiction (Substance Use Disorder) based in Gardner, MA. Keith Jeremy Blackburn practices in Gardner, MA. The NPI Number for Keith Jeremy Blackburn is 1275114977. The current practice location address for Keith Jeremy Blackburn is 171 Graham St, Gardner, MA 01440-3847 and can be reached out via phone at 978-632-4574.
Provider Profile Details
- NPI Number
- 1275114977
- Provider Name
- Keith Jeremy Blackburn
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 171 Graham St, Gardner, MA 01440-3847
- Phone Number
- 978-632-4574
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 15, 2021
- Last Update Date
- April 15, 2021
- Certification Date
- April 15, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 171 Graham St
Gardner, MA 01440-3847 - City
- Gardner
- State
- Massachusetts
- Zip
- 01440-3847
- Phone Number
- 978-632-4574
Provider Business Mailing Address Details
- Address
- 171 Graham St
Gardner, MA 01440-3847 - City
- Gardner
- State
- MA
- Zip
- 01440-3847
- Phone Number
- 978-632-4574
License Information
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near Gardner, MA
View all Counselor, Addiction (Substance Use Disorder) providers in Gardner →- Amy L AveryCounselor, Addiction (Substance Use Disorder) · NPI 1992252415
- Charles C AndersonCounselor, Addiction (Substance Use Disorder) · NPI 1104433804
- James Anello, LADCIICounselor, Addiction (Substance Use Disorder) · NPI 1902412836
- John CardinalCounselor, Addiction (Substance Use Disorder) · NPI 1023624806
- Tricia CarigliaCounselor, Addiction (Substance Use Disorder) · NPI 1841942687
Frequently Asked Questions
What is the NPI number of Keith J Blackburn?
The NPI number of Keith J Blackburn is 1275114977. It was assigned on April 15, 2021 and is currently active in the NPPES registry.
What is the specialty of Keith J Blackburn?
Keith J Blackburn is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).
Where does Keith J Blackburn practice?
The practice location is 171 Graham St, Gardner, MA 01440-3847. The office can be reached at 978-632-4574 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275114977 directly on the NPPES registry website.