REGINA BLACKWOLF, MSW, LICSW

Social Worker - Clinical

Active Individual
NPI: 1184777252

Practice Address

12812 3RD AVE SE STE A
Everett, WA 98208

Phone: (206) 375-7657

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No CP00005962 (WA)
Social Worker - Clinical 1041C0700X Yes LW60083962 (WA)

Frequently Asked Questions

NPI 1184777252 is the National Provider Identifier for REGINA BLACKWOLF, MSW, LICSW, a Social Worker - Clinical provider located in Everett, WA. This NPI was enumerated on January 19, 2007.
REGINA BLACKWOLF, MSW, LICSW practices at 12812 3RD AVE SE STE A, Everett, WA 98208.

Quick Facts

NPI
1184777252
Type
Individual
Enumerated
Jan 19, 2007
Last Updated
Mar 3, 2023

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