| NPI | 1134831951 |
|---|---|
| Professional Name | ELISSA BLACKWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: DC LG50083168) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC LC200003566) |
| Enumeration Date | 2022-12-23 |
| Last Update Date | 2025-11-26 |