GWENDOLYN BLACKNELL, LCDC

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1962707570

Practice Address

3207 BROADWAY ST
APT. 3207
Houston, TX 77017

Phone: (281) 991-8668

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes 10653 (TX)

Frequently Asked Questions

NPI 1962707570 is the National Provider Identifier for GWENDOLYN BLACKNELL, LCDC, a Counselor - Addiction (Substance Use Disorder) provider located in Houston, TX. This NPI was enumerated on January 13, 2011.
GWENDOLYN BLACKNELL, LCDC practices at 3207 BROADWAY ST, APT. 3207, Houston, TX 77017.

Quick Facts

NPI
1962707570
Type
Individual
Enumerated
Jan 13, 2011
Last Updated
Apr 18, 2014

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