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Estella Renee Blackmon

Counselor, Addiction (Substance Use Disorder) in Pittsburg, CA. Individual provider (NPI-1).

NPI number1285159079
StatusActive
Last updated in NPPESAug 14, 2017

Details

NPI
1285159079
Entity type
Individual (NPI-1)
Name
Mrs. Estella Renee Blackmon
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 14, 2017
Last updated
Aug 14, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

2 Davi Ave
Pittsburg, CA 94565-3701

Phone 925-427-1384 · Fax 925-427-1384

Mailing address

170 Eveningstar Ct
Pittsburg, CA 94565-3616

Phone 925-727-9416

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