Individual provider · Type 1 NPI

Myron Blackmon

Addiction (Substance Use Disorder) Counselor · Syracuse, NY

NPI number 1083464507 Active

Practice location

329 N Salina St
Syracuse, NY 13203-1755

Call (315) 471-1564 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X24380 (NY)

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

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About NPI 1083464507

Myron Blackmon's National Provider Identifier is 1083464507, issued on Mar 26, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Syracuse, NY. The record was last updated on Mar 26, 2024.