Individual provider · Type 1 NPI

Edward L. Blackburn

Counselor · Southfield, MI

NPI number 1033874722 Active

Practice location

25232 Code Rd
Southfield, MI 48033-5806

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1033874722

Edward L. Blackburn's National Provider Identifier is 1033874722, issued on Nov 8, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Southfield, MI. The record was last updated on Nov 8, 2021.