Myron Blackmon
Myron Blackmon is an Addiction (Substance Use Disorder) Counselor in Syracuse, New York. Licensed in New York. Registered with an NPI since 2024.
- Licensed in
- NY
- In the registry since
- 2024
Practice location Address checks out
329 N Salina StSyracuse, NY 13203-1755
Phone: (315) 471-1564
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 24380 (NY) |
|---|
Record details
| NPI number | 1083464507 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 26, 2024 |
| Last updated in NPPES | March 26, 2024 |
| Certification date | March 26, 2024 |
| Mailing address | 329 N Salina St, Syracuse, NY 13203-1755 |
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