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Individual
MICHAEL BLACKBURN
Active
Individual
MICHAEL BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, RC, MFA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WA
101YP2500X
Professional Counselor
RC00025589
WA
Other
Enumeration date
01/22/2007
Last updated
10/31/2018
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