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

Mary Blackmon, CPRC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1033796107

Mary Blackmon, CPRC is an Addiction (Substance Use Disorder) Counselor in Canton, Michigan. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

50430 School House Rd
Canton, MI 48187-5910
Phone: (734) 431-2357
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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

Record details

NPI number1033796107
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPRC
Sole proprietorNo
NPI enumeratedMarch 25, 2021
Last updated in NPPESMarch 25, 2021
Certification dateMarch 25, 2021
Mailing address50430 School House Rd, Canton, MI 48187-5910

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