Individual provider · Type 1 NPI
Tommy L. Blakeman, M.S.
Addiction (Substance Use Disorder) Counselor · Plano, TX
NPI number
1104063742
Active
Practice location
2600 Avenue K, Suite
Plano, TX 75074-5306
Fax (972) 548-5579
Mailing address
710 Chandler Ct
Allen, TX 75002-3617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 6787 (TX) |
| Mental Health Counselor | 101YM0800X | 63187 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1104063742
Tommy L. Blakeman, M.S.'s National Provider Identifier is 1104063742, issued on Jan 20, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Plano, TX. The record was last updated on Dec 28, 2009.