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Mr. Benjamin Amos Blackmon II
Mental Health Counselor in Oakland, California
NPI 1295074284

Benjamin Amos Blackmon II is a Mental Health Counselor based in Oakland, CA and is specialized in Mental Health. Benjamin Amos Blackmon II practices in Oakland, CA. The NPI Number for Benjamin Amos Blackmon II is 1295074284 and holds a License No. (California).

The current practice location address for Benjamin Amos Blackmon II is 111 Myrtle St Ste 102, Oakland, CA and can be reached out via phone at 510-839-3800.

Location: 111 Myrtle St Ste 102, Oakland, CA, 94607-2535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295074284
Provider Name
Benjamin Amos Blackmon II
Credential
Provider Entity Type
Individual
Gender
Male
Address
111 Myrtle St Ste 102, Oakland, CA, 94607-2535
Phone Number
510-839-3800
Fax Number
Provider Enumeration Date
02/11/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 Myrtle St Ste 102
City
Oakland
State
California
Zip
94607-2535
Phone Number
510-839-3800
Fax Number
person
Provider Business Mailing Address Details
Address
111 Myrtle St Ste 102
City
Oakland
State
California
Zip
94607-2535
Phone Number
510-839-3800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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