Individual
MR. MICHAEL STEVEN BLACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
111 TOWN HOLLOW RD., CEDAR BLUFF, VA 24609
(276) 963-3554
(276) 963-4653
Mailing address
111 TOWN HOLLOW RD., CEDAR BLUFF, VA 24609
(276) 963-3554
(276) 963-4653
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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