CRAIG BLACKSTON

TORRANCE, CA
NPI1043679202
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-02-16
Last Update Date2016-02-16
Business Address
-- CRAIG BLACKSTON
1334 POST AVE
TORRANCE, CA 90501-2620
Phone number: 310-328-1460
Mailing Address
-- CRAIG BLACKSTON
1334 POST AVE
TORRANCE, CA 90501-2620
Phone number: 310-328-1460
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