Individual provider · Type 1 NPI

Roger Blackshear

Addiction (Substance Use Disorder) Counselor · Long Beach, CA

NPI number 1750180469 Active

Practice location

3125 E 7th St
Long Beach, CA 90804-4932

Mailing address

237 E 9th St Apt 17
Long Beach, CA 90813-5847

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1750180469

Roger Blackshear's National Provider Identifier is 1750180469, issued on Mar 13, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Long Beach, CA. The record was last updated on Mar 13, 2025.