Richard Blackburn, LADC

NPI #1356466049 in Shawnee, Oklahoma

Provider Information

NPI Number
1356466049
Entity Type
Individual
Name
Richard Blackburn, LADC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LADC
Enumeration Date
Mar 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1010 E 45TH ST
ZIP Code
74804-2202
Phone
(405) 273-1170

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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