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
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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.