Individual provider · Type 1 NPI

Jonathan D. Blackwell, T-LPC

Professional Counselor · Wichita, KS

NPI number 1942831862 Active

Practice location

635 N Main St
Wichita, KS 67203-3602

Call (316) 660-7525 Map

Fax (316) 660-1897

Mailing address

271 W 3rd St N
Wichita, KS 67202-1212

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X3551 (KS)
Professional Counselor Primary 101YP2500X03842 (KS)

Professional Counselor: Definition to come...

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About NPI 1942831862

Jonathan D. Blackwell, T-LPC's National Provider Identifier is 1942831862, issued on Jan 29, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wichita, KS. The record was last updated on Jul 7, 2021.