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1013305044
JOHN MICHAEL BLACKSTON
ORLANDO, FL
NPI
1013305044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL 9621)
Enumeration Date
2014-12-29
Last Update Date
2014-12-29
Business Address
-- JOHN MICHAEL BLACKSTON LMHC
2562 ROUSE RD
ORLANDO, FL 32817-2902
Phone number: 407-405-7677
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Mailing Address
-- JOHN MICHAEL BLACKSTON LMHC
2562 ROUSE RD
ORLANDO, FL 32817-2902
Phone number: 407-405-7677
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