person
Mario Blackston
Addiction (Substance Use Disorder) Counselor in Bridgeville, Pennsylvania
NPI 1962747519

Mario Blackston is an Addiction (Substance Use Disorder) Counselor based in Bridgeville, PA and is specialized in Addiction (Substance Use Disorder). Mario Blackston practices in Bridgeville, PA. The NPI Number for Mario Blackston is 1962747519 and holds a License No. (Pennsylvania).

The current practice location address for Mario Blackston is 316 Station St, Bridgeville, PA and can be reached out via phone at 412-221-1091.

Location: 316 Station St, Bridgeville, PA, 15017-1833
person
Provider Profile Details
NPI Number
1962747519
Provider Name
Mario Blackston
Credential
Provider Entity Type
Individual
Gender
Male
Address
316 Station St, Bridgeville, PA, 15017-1833
Phone Number
412-221-1091
Fax Number
Provider Enumeration Date
12/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
316 Station St
City
State
Zip
15017-1833
Phone Number
412-221-1091
Fax Number
person
Provider Business Mailing Address Details
Address
316 Station St
City
State
Zip
15017-1833
Phone Number
412-221-1091
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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