RICHARD BLACKBURN, LADC

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1356466049

Practice Address

1010 E 45TH ST
Shawnee, OK 74804

Phone: (405) 273-1170

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes 528 (OK)

Frequently Asked Questions

NPI 1356466049 is the National Provider Identifier for RICHARD BLACKBURN, LADC, a Counselor - Addiction (Substance Use Disorder) provider located in Shawnee, OK. This NPI was enumerated on March 20, 2007.
RICHARD BLACKBURN, LADC practices at 1010 E 45TH ST, Shawnee, OK 74804.

Quick Facts

NPI
1356466049
Type
Individual
Enumerated
Mar 20, 2007
Last Updated
Jul 8, 2007

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