Individual provider · Type 1 NPI

Yvonne Leslie Blackburn, CMS

Addiction (Substance Use Disorder) Counselor · Waverly, OH

NPI number 1043800725 Active

Practice location

14572 US Highway 23
Waverly, OH 45690-9373

Call (740) 947-6727 Map

Mailing address

2755 Gieke Ridge Rd
Oak Hill, OH 45656-9077

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1043800725

Yvonne Leslie Blackburn, CMS's National Provider Identifier is 1043800725, issued on Jan 26, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waverly, OH. The record was last updated on Jan 26, 2021.