Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK BLACKWELL, RADT
ActiveJACK BLACKWELL, RADT is a Addiction (Substance Use Disorder) Counselor healthcare provider located in WOODLAND, California. NPI 1215574561 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · WOODLAND, CA
Registration Details
- NPI Number
- 1215574561
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 5, 2019 (6.6657247027899 yrs)
- Last Updated
- Sep 28, 2020
Practice Information
- Address
-
215 W BEAMER STWOODLAND, CA, 956952510Browse CA providers · Browse ZIP 95695
- Phone
- 5304052815
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in WOODLAND, CA
| Name | Credential | NPI |
|---|---|---|
| RICHARD V. RED LEAF | RAS | 1063545853 |
| MR. CARLOS G MATOS | — | 1154445971 |
| ROSITA GONZALES | — | 1336365832 |
| MS. WINONA ANN GRANT | — | 1275754665 |
| CHRISTINA ANDRADE-LEMUS | — | 1043425390 |
| JAYTEE MICAEL WEATHERBIE | — | 1831304815 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.