Individual provider · Type 1 NPI

Richard Blackburn, LADC

Addiction (Substance Use Disorder) Counselor · Shawnee, OK

NPI number 1356466049 Active

Practice location

1010 E 45th St
Shawnee, OK 74804-2202

Call (405) 273-1170 Map

Fax (405) 275-5132

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X528 (OK)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1356466049

Richard Blackburn, LADC's National Provider Identifier is 1356466049, issued on Mar 20, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shawnee, OK. The record was last updated on Jul 8, 2007.