NPI | 1699319152 |
---|---|
Doing Business As | BLACKWELL COUNSELING |
Entity Type | Organization |
Authorized Contact | THOMAS BLACKWELL Owner 203-814-2176 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical |
Enumeration Date | 2019-10-28 |
Last Update Date | 2020-07-22 |