Latisha Ann Blackmon in Fresno - Addiction (substance Use Disorder)

Latisha Ann Blackmon - NPI 1134249279

Latisha Ann Blackmon is a Addiction (substance Use Disorder) in Fresno, California. Latisha Ann Blackmon practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Latisha Ann Blackmon is 1134249279. The last update date is 2007-07-08.

Latisha Ann Blackmon's current location address is 4032 E Clinton Ave, Fresno, California. You can contact this provider via phone number 5594770289. The mailing address for Latisha Ann Blackmon is 4032 E Clinton Ave, Fresno, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Latisha Ann Blackmon
Address 4032 E Clinton Ave, Fresno, California
Phone Number 5594770289
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1134249279
Provider Enumeration Date 2007-03-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4032 E Clinton Ave
City Fresno
State California (CA)
Post Code 937032519
Phone Number 5594770289
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Latisha Ann Blackmon

What is the unique provider identifier assigned to Latisha Ann Blackmon?

The Latisha Ann Blackmon has been issued the NPI (National Provider Identifier) 1134249279 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Latisha Ann Blackmon?

The Latisha Ann Blackmon is physically situated at 4032 E Clinton Ave, in the city of Fresno, state of CA, with the postal code 937032519.

What is the area of specialization for Latisha Ann Blackmon, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Latisha Ann Blackmon is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.

When did Latisha Ann Blackmon receive its 1134249279 assignment?

The Latisha Ann Blackmon was assigned its 1134249279 on 2007-03-30, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Latisha Ann Blackmon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Latisha Ann Blackmon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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