Individual provider · Type 1 NPI

Guy Blackstone, LPC, CRC

Counselor · Fitchburg, WI

NPI number 1700424850 Active

Practice location

2961 Yarmouth Greenway Dr Ste 2
Fitchburg, WI 53711-5809

Fax (608) 504-3700

Mailing address

4351 Doncaster Dr
Madison, WI 53711-3717

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X4546-226 (WI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1700424850

Guy Blackstone, LPC, CRC's National Provider Identifier is 1700424850, issued on Dec 18, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fitchburg, WI. The record was last updated on Jun 22, 2022.