Justin Lawrence Blackburn, CDCA
NPI #1710716451 in Mc Dermott, Ohio
Provider Information
- NPI Number
- 1710716451
- Entity Type
- Individual
- Name
- Justin Lawrence Blackburn, CDCA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CDCA
- Enumeration Date
- Jul 31, 2024
- Last Updated
- Jul 31, 2024
Practice Location
- Address
- 6431 STATE ROUTE 104
- City
- Mc Dermott
- State
- Ohio
- ZIP Code
- 45652-8943
- Phone
- (740) 981-6987
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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