JOHN MICHAEL BLACKSTON

ORLANDO, FL
NPI1013305044
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  9621)
Enumeration Date2014-12-29
Last Update Date2014-12-29
Business Address
-- JOHN MICHAEL BLACKSTON LMHC
2562 ROUSE RD
ORLANDO, FL 32817-2902
Phone number: 407-405-7677
Mailing Address
-- JOHN MICHAEL BLACKSTON LMHC
2562 ROUSE RD
ORLANDO, FL 32817-2902
Phone number: 407-405-7677
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