TEDDY BENJAMIN BLACKMON

VISALIA, CA
NPI1578926275
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  C033960715)
Enumeration Date2016-03-30
Last Update Date2016-03-30
Business Address
-- TEDDY BENJAMIN BLACKMON CADC-CAS
1845 S COURT ST
VISALIA, CA 93277-5423
Phone number: 559-754-5593
Mailing Address
-- TEDDY BENJAMIN BLACKMON CADC-CAS
1845 S COURT ST
VISALIA, CA 93277-5423
Phone number: 559-754-5593
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