person
Mr. William Blackston, LCADC
Addiction (Substance Use Disorder) Counselor in Baltimore, Maryland
NPI 1740339324

William Blackston is an Addiction (Substance Use Disorder) Counselor based in Baltimore, MD and is specialized in Addiction (Substance Use Disorder). William Blackston practices in Baltimore, MD and has the professional credentials of LCADC. The NPI Number for William Blackston is 1740339324 and holds a License No. 011538 (Maryland).

The current practice location address for William Blackston is 7131 Rutherford Rd, Baltimore, MD and can be reached out via phone at 410-298-2691 and via fax at 410-298-0835.

Location: 7131 Rutherford Rd, Baltimore, MD, 21221-5449
person
Provider Profile Details
NPI Number
1740339324
Provider Name
William Blackston
Credential
LCADC
Provider Entity Type
Individual
Gender
Male
Address
7131 Rutherford Rd, Baltimore, MD, 21221-5449
Phone Number
410-298-2691
Fax Number
410-298-0835
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7131 Rutherford Rd
City
State
Zip
21244-2702
Phone Number
410-298-2691
Fax Number
410-298-0835
person
Provider Business Mailing Address Details
Address
7131 Rutherford Rd
City
State
Zip
21244-2702
Phone Number
410-298-2691
Fax Number
410-298-0835
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
011538 (Maryland)
Definition
Definition to come...
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