Individual
FRANK JASON BLICKHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC IN JULY 2008
Contact information
Practice address
1001 BLONDEAU ST, KEOKUK, IA 52632-4721
(319) 795-6908
Mailing address
1001 BLONDEAU ST, KEOKUK, IA 52632-4721
(319) 795-6908
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IA
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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