Individual provider · Type 1 NPI

Heather Rain Blackburn, RADT

Counselor · Placerville, CA

NPI number 1053782748 Active

Practice location

2844 Coloma St
Placerville, CA 95667-4406

Call (530) 644-3758 Map

Fax (530) 644-3782

Mailing address

PO Box 586
Camino, CA 95709-0586

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 1053782748

Heather Rain Blackburn, RADT's National Provider Identifier is 1053782748, issued on Oct 7, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Placerville, CA. The record was last updated on Oct 7, 2015.