Individual provider · Type 1 NPI

Fabian Blackman

Mental Health Counselor · Springfield Gardens, NY

NPI number 1235383092 Active

Practice location

13325 220th St
Springfield Gardens, NY 11413-1636

Fax (718) 859-9767

Mailing address

2233 Nostrand Ave, 2nd Floor
Brooklyn, NY 11210-3029

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1235383092

Fabian Blackman's National Provider Identifier is 1235383092, issued on Nov 6, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield Gardens, NY. The record was last updated on Nov 6, 2008.