Individual provider · Type 1 NPI

Benjamin Amos Blackmon Ii

Mental Health Counselor · Oakland, CA

NPI number 1295074284 Active

Practice location

111 Myrtle St Ste 102
Oakland, CA 94607-2535

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1295074284

Benjamin Amos Blackmon Ii's National Provider Identifier is 1295074284, issued on Feb 11, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oakland, CA. The record was last updated on Feb 11, 2013.