Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RAYMOND BLACKWELL, LADAC II
Active Sole ProprietorMR. RAYMOND BLACKWELL, LADAC II is a Addiction (Substance Use Disorder) Counselor healthcare provider located in BRUSH CREEK, Tennessee. NPI 1710599543 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · BRUSH CREEK, TN
Registration Details
- NPI Number
- 1710599543
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2020 (6.0149425247515 yrs)
- Last Updated
- Sep 28, 2020
- License
-
LDC0000001425 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
832 MAIN ST SOUTHBRUSH CREEK, TN, 38547Browse TN providers · Browse ZIP 38547
- Phone
- 6156308908
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
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.