Individual
CAROLYN B. BLACKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 W COLUMBUS ST, BAKERSFIELD, CA 93301-1263
(661) 328-0245
Mailing address
501 W COLUMBUS ST, BAKERSFIELD, CA 93301-1263
(661) 328-0245
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
410211048
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7812
CA
Other
Enumeration date
05/25/2007
Last updated
06/04/2020
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