Individual
CLAUDETTE T BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LAC
Contact information
Practice address
28011 CROWLEY EUNICE HWY, EUNICE, LA 70535-7515
(337) 581-6294
Mailing address
801 POINCIANA AVE, MAMOU, LA 70554-2243
(337) 468-0500
(337) 468-0404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1123
LA
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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