| NPI | 1104063742 |
|---|---|
| Professional Name | TOMMY L BLAKEMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 6787) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 63187) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-12-28 |