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Delbert Lee Blackburn
Mental Health Counselor in Santa Rosa, California
NPI 1942400676

Delbert Lee Blackburn is a Mental Health Counselor based in Santa Rosa, CA and is specialized in Mental Health. Delbert Lee Blackburn practices in Santa Rosa, CA. The NPI Number for Delbert Lee Blackburn is 1942400676 and holds a License No. (California).

The current practice location address for Delbert Lee Blackburn is 3333 Chanate Rd, Santa Rosa, CA and can be reached out via phone at 707-565-5025.

Location: 3333 Chanate Rd, Santa Rosa, CA, 95404-1707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942400676
Provider Name
Delbert Lee Blackburn
Credential
Provider Entity Type
Individual
Gender
Male
Address
3333 Chanate Rd, Santa Rosa, CA, 95404-1707
Phone Number
707-565-5025
Fax Number
Provider Enumeration Date
07/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3333 Chanate Rd
City
Santa Rosa
State
California
Zip
95404-1707
Phone Number
707-565-5025
Fax Number
person
Provider Business Mailing Address Details
Address
3333 Chanate Rd
City
Santa Rosa
State
California
Zip
95404-1707
Phone Number
707-565-5025
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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