Individual
DOUGLAS BLAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
425 7TH AVE SW, HICKORY, NC 28602-3237
(828) 355-5915
(828) 345-0387
Mailing address
425 7TH AVE SW, HICKORY, NC 28602-3237
(828) 355-5915
(828) 345-0387
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22214
NC
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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