Individual
CRAIG BLACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
600 SISKIYOU BLVD, ASHLAND, OR 97520-2140
(970) 222-3430
Mailing address
600 SISKIYOU BLVD, ASHLAND, OR 97520-2140
(970) 222-3430
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C5464.
OR
Other
Enumeration date
03/05/2019
Last updated
06/22/2020
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