Individual
ANTHONY P BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1029 W CRAWFORD ST, DENISON, TX 75020-4329
(903) 462-4600
(903) 298-0046
Mailing address
1029 W CRAWFORD ST, DENISON, TX 75020-4329
(903) 462-4600
(903) 298-0046
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12517
TX
1041C0700X
Clinical Social Worker
Primary
50623
TX
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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