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Susan Blackburn

Counselor, Addiction (Substance Use Disorder) in Chattanooga, TN. Individual provider (NPI-1).

NPI number1972724151
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1972724151
Entity type
Individual (NPI-1)
Name
Susan Blackburn
Sex
Female
Sole proprietor
Yes
Enumeration date
May 2, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

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

Practice location

2347 Rossville Blvd
Chattanooga, TN 37408

Phone 423-265-3122

Mailing address

58 Adams Run Lane
Rossville, GA 30741

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