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

JUSTIN LAWRENCE BLACKBURN, CDCA

Active Sole Proprietor

JUSTIN LAWRENCE BLACKBURN, CDCA is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MC DERMOTT, Ohio. NPI 1710716451 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · MC DERMOTT, OH

Registration Details

NPI Number
1710716451
Provider Type
Individual
Gender
Male
NPI Issued
Jul 31, 2024 (2.0125371881051 yrs)
Last Updated
Jul 31, 2024
License
CDCA.189376 (OH)
Sole Proprietor
Yes

Practice Information

Address
6431 STATE ROUTE 104
MC DERMOTT, OH, 456528943
Browse OH providers · Browse ZIP 45652
Phone
7409816987

Other Addiction (Substance Use Disorder) Counselor Providers in MC DERMOTT, OH

Name Credential NPI
MR. TODD DAVIS LCDC II 1346604626
JARODD LAWSON CDCA 1255831376
MICHELE LAWSON CDCA 1407356546
NICHOLAS L HALL LCDC II 1619478021
JONI BENTLEY LCDC II 1730680869
SHAWN WHISMAN CDCA 1760971949
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.