Gerald Blackburn
NPI #1033661376 in Issaquah, Washington
Provider Information
- NPI Number
- 1033661376
- Entity Type
- Individual
- Name
- Gerald Blackburn
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Nov 3, 2016
- Last Updated
- Nov 3, 2016
Practice Location
- Address
- 414 FRONT ST N
- City
- Issaquah
- State
- Washington
- ZIP Code
- 98027-2914
- Phone
- (425) 392-6367
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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