| Gerald Blackburn, | |
|
414 Front St N, Issaquah, WA 98027-2914 | |
| (425) 392-6367 | |
| Not Available |
| Full Name | Gerald Blackburn |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 414 Front St N, Issaquah, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033661376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP00003663 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald Blackburn, 414 Front St N, Issaquah, WA 98027-2914 Ph: (425) 392-6367 | Gerald Blackburn, 414 Front St N, Issaquah, WA 98027-2914 Ph: (425) 392-6367 |
Emili Lynn Fletcher, Counselor Medicare: Medicare Enrolled Practice Location: 160 Ne Gilman Blvd, Suite 443, Issaquah, WA 98027 Phone: 206-446-4496 | |
Braun Inslee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 414 Front St N, Issaquah, WA 98027 Phone: 425-392-6367 | |
Mrs. Amy Lynne Bliven-lee, LMHC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 3707 Providence Point Dr Se Ste Candd, Issaquah, WA 98029 Phone: 425-409-6414 | |
Frank Michael Bruno, LMFTA Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Ne Gilman Blvd Ste 300, Issaquah, WA 98027 Phone: 425-625-9102 | |
Ms. Jaime M Hoffstetter, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 414 Front St N, Issaquah, WA 98027 Phone: 425-392-6367 | |
Mary-elizabeth Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 414 Front St N, Issaquah, WA 98027 Phone: 425-392-6367 |