Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAWN THORNTON BLAKLEY, MSE, CADCIII
ActiveSHAWN THORNTON BLAKLEY, MSE, CADCIII is a Addiction (Substance Use Disorder) Counselor healthcare provider located in GREEN BAY, Wisconsin. NPI 1417022468 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · GREEN BAY, WI
Registration Details
- NPI Number
- 1417022468
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 22, 2006 (19.695032749325 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
CADCIII (WI)792-125 (WI)
Practice Information
- Address
-
130 E WALNUT STSUITE 706GREEN BAY, WI, 543014239Browse WI providers · Browse ZIP 54301
- Phone
- 9204378256
- Fax
- 9204371188
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Professional Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| MR. SCOTT D LALONDE | CSAC | 1073503546 |
| DALE S RASMUSSEN | BSW CSAC | 1609867761 |
| JEANETTE PIEPER | BSW, CSAC | 1821089988 |
| MR. THOMAS L THOUNE | CSAC | 1790776565 |
| MR. EARLY R FULLER | CADCIII | 1518037613 |
| MS. MARYA B LIECHTI | MSE,LPC,NCC,MAC,CADC | 1801963202 |
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.