Individual provider · Type 1 NPI
Vance Wayne Blackwell Jr.
Mental Health Counselor · Bartlesville, OK
NPI number
1588064604
Active
Practice location
2200 SE Washinton Blvd.
Bartlesville, OK 74006
Fax (918) 335-1119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1588064604
Vance Wayne Blackwell Jr.'s National Provider Identifier is 1588064604, issued on Aug 26, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bartlesville, OK. The record was last updated on Aug 26, 2014.