Individual provider · Type 1 NPI
Dean Albert Blackburn
Mental Health Counselor · South Easton, MA
NPI number
1164969754
Active
Practice location
9 Kevins Way
South Easton, MA 02375-1284
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 15061 (MA) |
Mental Health Counselor: Definition to come...
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About NPI 1164969754
Dean Albert Blackburn's National Provider Identifier is 1164969754, issued on Jan 20, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Easton, MA. The record was last updated on Feb 1, 2017.