Individual provider · Type 1 NPI

Diane Marie Blackwood, LMSW LADC

Addiction (Substance Use Disorder) Counselor · Vernon Rockville, CT

NPI number 1811407133 Active

About NPI 1811407133

Diane Marie Blackwood, LMSW LADC's National Provider Identifier is 1811407133, issued on Oct 2, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vernon Rockville, CT. The record was last updated on Oct 2, 2017.