Susan Blackburn
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Chattanooga, TN
NPI 1972724151 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1972724151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 2347 Rossville Blvd
Chattanooga, TN 37408 - Phone
- (423) 265-3122
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volunteer Treatment Center, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
2347 Rossville Blvd
Chattanooga, TN 37408
Mailing address
58 Adams Run Lane
Rossville, GA 30741
Other providers in Chattanooga, TN
- Robert Black
- Skyelor Black
- Whitney Kaylan Black
- Amanda Blackburn
- Jean B Blackburn
- Benjamin T Blackiston
- James P Blackmon
- Cory F Blackwell
- Hannah Blackwell
- Taylor K Blackwell
All providers in Chattanooga, TN · Addiction (Substance Use Disorder) Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.