Marsha T Blackman, CASAC-T
Counselor, Addiction (Substance Use Disorder) in New York, NY. Individual provider (NPI-1).
NPI number1427366830
StatusActive
Last updated in NPPESJan 16, 2015
Details
- NPI
- 1427366830
- Entity type
- Individual (NPI-1)
- Name
- Marsha T Blackman
- Credential
- CASAC-T
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2010
- Last updated
- Jan 16, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 25045 | NY | Yes |
Practice location
116 E 92nd StNew York, NY 10128-1620
Phone 646-672-1105
Mailing address
116 E 92nd StNew York, NY 10128-1620
Phone 646-672-1105
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