Individual provider · Type 1 NPI

Timothy Alan Blackburn

Mental Health Counselor · Seattle, WA

NPI number 1013715150 Active

Practice location

4 Nickerson St Ste 300
Seattle, WA 98109-1699

Mailing address

1295 Bandana Blvd W, Ste 210
St. Paul, MN 55108

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMC61574268 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1013715150

Timothy Alan Blackburn's National Provider Identifier is 1013715150, issued on Mar 5, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Seattle, WA. The record was last updated on Mar 5, 2025.