JUSTIN LAWRENCE BLACKBURN

MC DERMOTT, OH
NPI1710716451
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.189376)
Enumeration Date2024-07-31
Last Update Date2024-07-31
Business Address
JUSTIN LAWRENCE BLACKBURN CDCA
6431 STATE ROUTE 104
MC DERMOTT, OH 45652-8943
Phone number: 740-981-6987
Mailing Address
JUSTIN LAWRENCE BLACKBURN CDCA
6431 STATE ROUTE 104
MC DERMOTT, OH 45652-8943
Phone number: 740-981-6987
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