Individual provider · Type 1 NPI

Mario Blackston

Addiction (Substance Use Disorder) Counselor · Bridgeville, PA

NPI number 1962747519 Active

Practice location

316 Station St
Bridgeville, PA 15017-1833

Call (412) 221-1091 Map

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 1962747519

Mario Blackston's National Provider Identifier is 1962747519, issued on Dec 10, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bridgeville, PA. The record was last updated on Dec 10, 2012.