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GERALD BLACKBURN
NPI 1033661376
Counselor - Addiction (Substance Use Disorder) in Issaquah, WA

Active since November 03, 2016
414 FRONT ST N, ISSAQUAH, WA 98027(425) 392-6367 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gerald Blackburn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERALD BLACKBURN (NPI 1033661376) is an individual addiction (substance use disorder) provider in Issaquah, Washington, licensed in Washington (CP00003663) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1033661376
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameGERALD BLACKBURN
Location Address414 FRONT ST NIssaquah, WA 98027-2914
Mailing Address414 Front St NIssaquah, WA 98027-2914 · (425) 392-6367
Phone(425) 392-6367
Sole ProprietorNo
Enumeration DateNovember 3, 2016
✔ NPI 1033661376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP00003663
414 FRONT ST N, Issaquah, WA 98027
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE QUYEN LE
Specialist/Technologist (Athletic Trainer)
414 FRONT ST N
ISSAQUAH, WA 98027
King County (425) 363-2499
MS. JAIME M HOFFSTETTER MSW
Social Worker (Clinical)
414 FRONT ST N
ISSAQUAH, WA 98027
King County (425) 392-6367
MARY-ELIZABETH JOHNSON
Student in an Organized Health Care Education/Training Program
414 FRONT ST N
ISSAQUAH, WA 98027
King County (425) 392-6367
LIANA H MONTAGUE
Counselor
414 FRONT ST N
ISSAQUAH, WA 98027
King County (425) 392-6367
ERIENE OH
Student in an Organized Health Care Education/Training Program
414 FRONT ST N
ISSAQUAH, WA 98027
King County (425) 392-6367
KAITLYN CAMP
Student in an Organized Health Care Education/Training Program
414 FRONT ST N
ISSAQUAH, WA 98027
King County (425) 392-6367
EMILY KATHRYN MOWRER
Student in an Organized Health Care Education/Training Program
414 FRONT ST N
ISSAQUAH, WA 98027
King County (425) 329-6367
MS. SHELLEY MORIN B.S.
Counselor (Mental Health)
414 FRONT ST N
ISSAQUAH, WA 98027
King County (425) 392-6367

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerald Blackburn's NPI number?

The NPI number for Gerald Blackburn is 1033661376. It was assigned to this individual provider in the NPPES registry on November 3, 2016.

Where is Gerald Blackburn located?

Gerald Blackburn practices at 414 Front St N, Issaquah, WA 98027. The listed phone number is (425) 392-6367.

What is Gerald Blackburn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Gerald Blackburn was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.