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Organization
BLACKBURN CLINICAL SERVICES, LLC
Active
Organization
BLACKBURN CLINICAL SERVICES, LLC
Active
Other names
Blackburn Clinical Services
Organization subpart
No
Provider details
NPI number
Authorized official
NADEA MCPHERSON (CEO)
(424) 245-5052
Entity
Organization
Contact information
Practice address
12326 VENICE BLVD, LOS ANGELES, CA 90066-3802
(888) 870-7405
Mailing address
12326 VENICE BLVD, LOS ANGELES, CA 90066-3802
(888) 870-7405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
05/13/2025
Last updated
05/19/2025
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