DELBERT LEE BLACKBURN

SANTA ROSA, CA
NPI1942400676
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-07-20
Last Update Date2014-06-26
Business Address
-- DELBERT LEE BLACKBURN
3333 CHANATE RD
SANTA ROSA, CA 95404-1707
Phone number: 707-565-5025
Mailing Address
-- DELBERT LEE BLACKBURN
3333 CHANATE RD
SANTA ROSA, CA 95404-1707
Phone number: 707-565-5025
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