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David P Blankenship, CAC 2

Counselor, Addiction (Substance Use Disorder) in Kalamazoo, MI. Individual provider (NPI-1).

NPI number1891908463
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1891908463
Entity type
Individual (NPI-1)
Name
Mr. David P Blankenship
Credential
CAC 2
Sex
Male
Sole proprietor
No
Enumeration date
May 8, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

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

Practice location

1020 S Westnedge Ave
Kalamazoo, MI 49008-1166

Phone 269-344-4458

Mailing address

1020 S Westnedge Ave
Kalamazoo, MI 49008-1166

Phone 269-344-4458

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