Individual provider · Type 1 NPI
Gwendolyn Yvonne Blacknell, LCDC
Addiction (Substance Use Disorder) Counselor · Houston, TX
NPI number
1962707570
Active
Practice location
3207 Broadway St, Apt. 3207
Houston, TX 77017-2320
Fax (713) 236-0120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 10653 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1962707570
Gwendolyn Yvonne Blacknell, LCDC's National Provider Identifier is 1962707570, issued on Jan 13, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Houston, TX. The record was last updated on Apr 18, 2014.