Individual
DR. CHARLES F BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2310 S MIAMI BLVD, SUITE 132, DURHAM, NC 27703-5798
(919) 261-6349
(919) 572-0004
Mailing address
2310 S MIAMI BLVD, SUITE 132, DURHAM, NC 27703-5798
(919) 261-6349
(919) 572-0004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3290
NC
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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