EDWARD L BLACKBURN NPI 1033874722

NPI Information

Edward L Blackburn is a counselor in Southfield, MI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Edward L Blackburn NPI is 1033874722. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

25232 CODE RD
SOUTHFIELD, MI
ZIP 48033-806
Phone: (248) 409-4185

The enumeration date for this NPI number is 11/8/2021 and was last updated on 11/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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