Individual provider · Type 1 NPI
Tracey Hawthorne Blackwell, BSW., CIT
Addiction (Substance Use Disorder) Counselor · Pineville, LA
NPI number
1245347376
Active
Practice location
Meadow Lane, Unit 6
Pineville, LA 71360
Fax (318) 487-5704
Mailing address
613 Penick St
Pineville, LA 71360-5246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R1971 (LA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Pineville
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- Vernon L. Mills Sr., LAC/CCS/CCDP-DAddiction (Substance Use Disorder) Counselor Pineville, LA NPI 1134226566
- Kristi Deanna Waggener, LACAddiction (Substance Use Disorder) Counselor Pineville, LA NPI 1174618813
- Rose Ann Faircloth, CACAddiction (Substance Use Disorder) Counselor Pineville, LA NPI 1215647060
- Kylie Combs, CITAddiction (Substance Use Disorder) Counselor Pineville, LA NPI 1265348577
- Phillip Michael Coco, LACAddiction (Substance Use Disorder) Counselor Pineville, LA NPI 1306950449
- Eric Shane Blair, M.S.Addiction (Substance Use Disorder) Counselor Pineville, LA NPI 1356495006
About NPI 1245347376
Tracey Hawthorne Blackwell, BSW., CIT's National Provider Identifier is 1245347376, issued on Aug 24, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pineville, LA. The record was last updated on Jul 8, 2007.