ROGER BLACKSHEAR

LONG BEACH, CA
NPI1750180469
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-03-13
Last Update Date2025-03-13
Business Address
ROGER BLACKSHEAR
3125 E 7TH ST
LONG BEACH, CA 90804-4932
Phone number: 562-987-5722
Mailing Address
ROGER BLACKSHEAR
237 E 9TH ST APT 17
LONG BEACH, CA 90813-5847
Phone number: