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RAYMOND BLACKWELL, LADAC II

LADAC II

Addiction (Substance Use Disorder) Counselor

NPI: 1710599543Individual

Specialties, Licenses & Credentials

Addiction (Substance Use Disorder) CounselorPrimary

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

LDC0000001425(TN)

Contact & Hours

Address
832 MAIN ST SOUTH
BRUSH CREEK, TN 38547

Quick Facts

NPI
1710599543
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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