Individual provider · Type 1 NPI

Elizabeth Randell Blackburn, LMFT

Marriage & Family Therapist · Poulsbo, WA

NPI number 1104049568 Active

Practice location

20174 Front St NE
Poulsbo, WA 98370-7445

Call (404) 426-0486 Map

Fax (404) 426-0486

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XLF60554394 (WA)
Marriage & Family Therapist 106H00000XMFT000939 (GA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1104049568

Elizabeth Randell Blackburn, LMFT's National Provider Identifier is 1104049568, issued on Apr 11, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Poulsbo, WA. The record was last updated on May 1, 2018.