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

Teddy Benjamin Blackmon, CADC-CAS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1578926275

Teddy Benjamin Blackmon, CADC-CAS is an Addiction (Substance Use Disorder) Counselor in Visalia, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

1845 S Court St
Visalia, CA 93277-5423
Phone: (559) 754-5593
Fax: (559) 732-5554
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 · Licence C033960715 (CA)

Record details

NPI number1578926275
Entity typeIndividual (Type 1)
GenderMale
Credentials CADC-CAS
Sole proprietorNo
NPI enumeratedMarch 30, 2016
Last updated in NPPESMarch 30, 2016

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