Blackburn, Michael

Blackburn, Michael is an individual health care provider with primary practice located at 505 29Th St Se Chartley House, Auburn WA 98002-7541. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Blackburn, Michael can be contacted via phone (253) 876-7650.

Contact Information

Primary practice address
505 29Th St Se Chartley House Auburn WA 98002-7541
Phone: (253) 876-7650
Fax: (253) 876-7651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X RC00025589 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Washington

Profile Details

NPI number 1114071891
LBN Legal business name Blackburn, Michael
Credentials BA, RC, MFA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Oct 31st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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