DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. PETER RUSSELL BLACKMAN JR.

Active

Counselor · BUNKIE, LA

Registration Details

NPI Number
1609233907
Provider Type
Individual
Gender
Male
NPI Issued
Jan 19, 2016 (10.283174731783 yrs)
Last Updated
Jan 19, 2016
Licenses
1544761 (LA)
1544761 (LA)

Practice Information

Address
1140 SHIRLEY RD
BUNKIE, LA, 713221545
Browse LA providers · Browse ZIP 71322
Phone
3183468001
Fax
3183468005
Primary Specialty
Counselor
101Y00000X
Additional Specialty
Mental Health Counselor

Other Counselor Providers in BUNKIE, LA

Name Credential NPI
LATINNA WILLIAMS 1831563659
JANNA SAMPSON 1598139255
CALVIN KELLER 1831555408
NORA VALLIAN 1588026074
KEITHCA CALLIHAN 1790147353
FELICE EDWARDS 1104288695
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.