Individual provider · Type 1 NPI

Jonathon Blackwell, LCSW

Mental Health Counselor · Plymouth, MA

NPI number 1154819837 Active

Practice location

118 Long Pond Rd
Plymouth, MA 02360-2662

Fax (508) 747-8835

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1154819837

Jonathon Blackwell, LCSW's National Provider Identifier is 1154819837, issued on Apr 27, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Plymouth, MA. The record was last updated on Apr 27, 2018.