Individual provider · Type 1 NPI
Clydie Blackwell, RN
Addiction (Substance Use Disorder) Registered Nurse · East St. Louis, IL
NPI number
1063289635
Active
Practice location
505 S 8th St
East St. Louis, IL 62201-2919
Mailing address
329 N 81st St
Cahokia Heights, IL 62203-2509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | 041165940 (IL) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
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- Comprehensive Behavioral Health Center of St. Clair County, Inc.Substance Use Disorder Rehabilitation Clinic/Center East St. Louis, IL NPI 1457013765
- Comprehensive Behavioral Health Center of St. Clair County, Inc.Mental Health Clinic/Center (Including Community Mental Health Center) East St. Louis, IL NPI 1720094345
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- Southern Illinois Health Care Foundation, Inc.Federally Qualified Health Center (FQHC) East St. Louis, IL NPI 1942510508
- Deborah Dyle, LCSWClinical Social Worker East St. Louis, IL NPI 1225890478
- Estelisa Bevely, RNAddiction (Substance Use Disorder) Registered Nurse East St. Louis, IL NPI 1508633173
- Joseph A. Delucia, DOEmergency Medicine Physician East St. Louis, IL NPI 1528008786
- Mary Beth E. Neufeld-Wall, MSW, LCSWClinical Social Worker East St. Louis, IL NPI 1003686825
Other addiction (substance use disorder) registered nurse providers in East St. Louis
About NPI 1063289635
Clydie Blackwell, RN's National Provider Identifier is 1063289635, issued on Dec 5, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in East St. Louis, IL. The record was last updated on Dec 5, 2023.