Individual provider · Type 1 NPI

Tarae Blackmon, SUDP

Addiction (Substance Use Disorder) Counselor · Tacoma, WA

NPI number 1760195481 Active

Practice location

721 Fawcett Ave Ste 204
Tacoma, WA 98402-5502

Call (253) 389-3383 Map

Mailing address

6536 A St
Tacoma, WA 98408-7308

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 1760195481

Tarae Blackmon, SUDP's National Provider Identifier is 1760195481, issued on Dec 27, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tacoma, WA. The record was last updated on Dec 27, 2022.