Individual provider · Type 1 NPI

John M. Blackmon, QMHA

Mental Health Counselor · Portland, OR

NPI number 1780715003 Active

Practice location

13317 SE Powell Blvd
Portland, OR 97236-3335

Mailing address

19766 SE 38th Way
Camas, WA 98607-8851

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780715003

John M. Blackmon, QMHA's National Provider Identifier is 1780715003, issued on Mar 8, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.