Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. DIANE MARIE BLACKWOOD, LMSW LADC
Active Sole ProprietorMS. DIANE MARIE BLACKWOOD, LMSW LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in VERNON ROCKVILLE, Connecticut. NPI 1811407133 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · VERNON ROCKVILLE, CT
Registration Details
- NPI Number
- 1811407133
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2017 (8.9091959819295 yrs)
- Last Updated
- Oct 2, 2017
- Licenses
-
1040 (CT)1239 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
31 UNION STVERNON ROCKVILLE, CT, 060663126Browse CT providers · Browse ZIP 06066
- Phone
- 8608720501
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
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.