Individual provider · Type 1 NPI

Theodore William Blickwedel Ii, MSW, LICSW

Mental Health Counselor · Johnston, RI

NPI number 1669957932 Active

About NPI 1669957932

Theodore William Blickwedel Ii, MSW, LICSW's National Provider Identifier is 1669957932, issued on Oct 2, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Johnston, RI. The record was last updated on Oct 2, 2018.