SHANTAE BLACKWELL

Counselor - Mental Health

Active Individual
NPI: 1265824502

Practice Address

1422 KEARSLEY RD
Sicklerville, NJ 08081

Phone: (856) 308-5891

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes -

Frequently Asked Questions

NPI 1265824502 is the National Provider Identifier for SHANTAE BLACKWELL, a Counselor - Mental Health provider located in Sicklerville, NJ. This NPI was enumerated on February 24, 2015.
SHANTAE BLACKWELL practices at 1422 KEARSLEY RD, Sicklerville, NJ 08081.

Quick Facts

NPI
1265824502
Type
Individual
Enumerated
Feb 24, 2015
Last Updated
Feb 24, 2015

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