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

Keith Jeremy Blackburn

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1275114977

Keith Jeremy Blackburn is an Addiction (Substance Use Disorder) Counselor in Gardner, Massachusetts. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

171 Graham St
Gardner, MA 01440-3847
Phone: (978) 632-4574
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1275114977
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 15, 2021
Last updated in NPPESApril 15, 2021
Certification dateApril 15, 2021

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