Individual provider · Type 1 NPI

Michael Blackburn, BA, RC, MFA

Mental Health Counselor · Auburn, WA

NPI number 1114071891 Active

Practice location

505 29th St SE, Chartley House
Auburn, WA 98002-7541

Call (253) 876-7650 Map

Fax (253) 876-7651

Mailing address

2600 SW Holden St
Seattle, WA 98126-3505

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XRC00025589 (WA)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114071891

Michael Blackburn, BA, RC, MFA's National Provider Identifier is 1114071891, issued on Jan 22, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Auburn, WA. The record was last updated on Oct 31, 2018.