LATISHA ANN BLACKMON

FRESNO, CA
NPI1134249279
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-03-30
Last Update Date2007-07-08
Business Address
Mrs. LATISHA ANN BLACKMON
4032 E CLINTON AVE
FRESNO, CA 93703-2519
Phone number: 559-265-4800
Mailing Address
Mrs. LATISHA ANN BLACKMON
4032 E CLINTON AVE
FRESNO, CA 93703-2519
Phone number: 559-477-0289
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