Individual
CHRISTINE BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
800 5TH ST, SIOUX CITY, IA 51101-1317
(712) 234-2382
(712) 234-2395
Mailing address
1221 PIERCE ST, SIOUX CITY, IA 51105-1418
(712) 255-0204
(712) 255-1120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13015
IA
Other
Enumeration date
01/25/2017
Last updated
10/17/2018
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