Individual
ADAM SCOTT BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
193 LOCUST ST, NORTHAMPTON, MA 01060-2056
(413) 584-8700
Mailing address
70 CONZ ST, NORTHAMPTON, MA 01060-3830
(415) 235-5627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1775
MA
Other
Enumeration date
11/07/2019
Last updated
02/16/2022
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