Individual provider · Type 1 NPI

Raymond Blalock, SAC-IT

Addiction (Substance Use Disorder) Counselor · Madison, WI

NPI number 1700707346 Active

Practice location

3113 E Washington Ave
Madison, WI 53704-4330

Fax (608) 416-5776

Mailing address

5028 N 66th St
Milwaukee, WI 53218-4036

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20714 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1700707346

Raymond Blalock, SAC-IT's National Provider Identifier is 1700707346, issued on Jul 21, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Madison, WI. The record was last updated on Jul 21, 2026.