Individual
MR. TOMMY L BLAKEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
2600 AVENUE K, SUITE, PLANO, TX 75074-5306
(972) 548-5570
(972) 548-5579
Mailing address
710 CHANDLER CT, ALLEN, TX 75002-3617
(972) 548-5570
(972) 548-5579
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6787
TX
101YM0800X
Mental Health Counselor
63187
TX
Other
Enumeration date
01/20/2009
Last updated
12/28/2009
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