Individual provider · Type 1 NPI

Justin Lawrence Blackburn, CDCA

Addiction (Substance Use Disorder) Counselor · Mc Dermott, OH

NPI number 1710716451 Active

Practice location

7175 State Route 104
Mc Dermott, OH 45652-8899

Call (740) 858-6683 Map

Mailing address

PO Box 402
Wheelersburg, OH 45694-0402

Other practice locations

  • 9620 Careys Run Pond Creek Rd, Mc Dermott, OH 45652-3902 · (740) 858-6683

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.194030 (OH)

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

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About NPI 1710716451

Justin Lawrence Blackburn, CDCA's National Provider Identifier is 1710716451, issued on Jul 31, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mc Dermott, OH. The record was last updated on Jun 24, 2026.