Individual provider · Type 1 NPI

Angelique Nicole Blackwell, CGG61649106

Counselor · Renton, WA

NPI number 1831904218 Active

Practice location

15 S Grady Way Ste 245
Renton, WA 98057-3209

Call (206) 679-8291 Map

Fax (206) 274-6252

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XCG61649160 (WA)

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 1831904218

Angelique Nicole Blackwell, CGG61649106's National Provider Identifier is 1831904218, issued on Feb 11, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Renton, WA. The record was last updated on Feb 11, 2025.