Gerald Blackburn

NPI # 

Practice Address:

414 Front St N

Issaquah, WA, 98027-2914

Practice Phone:

425-392-6367

License Number:

CP00003663

License State:

WA

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Counselor

Taxonomy Specialization:

Addiction (Substance Use Disorder)

Taxonomy Code:

101YA0400X

Updated by NPPES on 11/3/2016. You can view the original data set for NPI # 1033661376 on the official NPPES website. If the information about this NPI provider/company is outdated and you would like to help us update the information, you can Contact Us. This will only update NPI information on NPIScope.com. See our FAQ page for further information on updating NPI information.

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