Individual
DORIS BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1280 TERMINAL WAY, SUITE 3, RENO, NV 89502-3219
(775) 337-9359
Mailing address
1280 TERMINAL WAY, SUITE 3, RENO, NV 89502-3219
(775) 337-9359
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336423433
—
NV
Enumeration date
05/26/2015
Last updated
05/26/2015
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