Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gerald Blackburn

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1033661376

Gerald Blackburn is an Addiction (Substance Use Disorder) Counselor in Issaquah, Washington. Licensed in Washington. Registered with an NPI since 2016.

Licensed in
WA
In the registry since
2016

Practice location Address checks out

414 Frnt ST N
Issaquah, WA 98027-2914
Phone: (425) 392-6367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CP00003663 (WA)

Record details

NPI number1033661376
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 3, 2016
Last updated in NPPESNovember 3, 2016
Mailing address414 Front St N, Issaquah, WA 98027-2914

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