person
Keith Jeremy Blackburn
Addiction (Substance Use Disorder) Counselor in Gardner, Massachusetts
NPI 1275114977

Keith Jeremy Blackburn is an Addiction (Substance Use Disorder) Counselor based in Gardner, MA and is specialized in Addiction (Substance Use Disorder). Keith Jeremy Blackburn practices in Gardner, MA. The NPI Number for Keith Jeremy Blackburn is 1275114977 and holds a License No. (Massachusetts).

The current practice location address for Keith Jeremy Blackburn is 171 Graham St, Gardner, MA and can be reached out via phone at 978-632-4574. You can also correspond with Keith Jeremy Blackburn through the mailing address at 171 GRAHAM ST, GARDNER, MA - 01440-3847 (mailing address contact number: 978-632-4574).

Location: 171 Graham St, Gardner, MA, 01440-3847
person
Provider Profile Details
NPI Number
1275114977
Provider Name
Keith Jeremy Blackburn
Credential
Provider Entity Type
Individual
Gender
Male
Address
171 Graham St, Gardner, MA, 01440-3847
Phone Number
978-632-4574
Fax Number
Provider Enumeration Date
04/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
171 Graham St
City
State
Zip
01440-3847
Phone Number
978-632-4574
Fax Number
person
Provider Business Mailing Address Details
Address
171 Graham St
City
State
Zip
01440-3847
Phone Number
978-632-4574
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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