Individual provider · Type 1 NPI

Shantae Blackwell

Mental Health Counselor · Sicklerville, NJ

NPI number 1265824502 Active

Practice location

1422 Kearsley Rd
Sicklerville, NJ 08081-5205

Mailing address

770 Woodlane Rd
Westampton, NJ 08060-3804

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1265824502

Shantae Blackwell's National Provider Identifier is 1265824502, issued on Feb 24, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sicklerville, NJ. The record was last updated on Feb 24, 2015.