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1356105803
JOSEPH BLACKWELL
RIVERSIDE, CA
NPI
1356105803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-02-06
Last Update Date
2024-02-06
Business Address
JOSEPH BLACKWELL SUDC
2743 ORANGE ST
RIVERSIDE, CA 92501-2503
Phone number: 951-788-9515
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Mailing Address
JOSEPH BLACKWELL SUDC
2085 RUSTIN AVE STE 1
RIVERSIDE, CA 92507-2498
Phone number: 951-955-7320
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