MICHAEL STEVEN BLACKSON

CEDAR BLUFF, VA
NPI1124249875
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
Mr. MICHAEL STEVEN BLACKSON BS
111 TOWN HOLLOW RD.
CEDAR BLUFF, VA 24609
Phone number: 276-963-3554
Mailing Address
Mr. MICHAEL STEVEN BLACKSON BS
111 TOWN HOLLOW RD.
CEDAR BLUFF, VA 24609
Phone number: 276-963-3554
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