Individual provider · Type 1 NPI

Peter Russell Blackman Jr.

Counselor · Bunkie, LA

NPI number 1609233907 Active

Practice location

1140 Shirley Rd
Bunkie, LA 71322-1545

Call (318) 346-8001 Map

Fax (318) 346-8005

Mailing address

2260 Valley Street PO Box 205
Mansura, LA 71350-0205

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X1544761 (LA)
Mental Health Counselor 101YM0800X1544761 (LA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1609233907

Peter Russell Blackman Jr.'s National Provider Identifier is 1609233907, issued on Jan 19, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bunkie, LA. The record was last updated on Jan 19, 2016.