SUSAN JOANN BLACKWELL NPI 1942335690

NPI Information

Susan Joann Blackwell is a counselor in Redondo Beach, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Susan Joann Blackwell NPI is 1942335690. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

310 S PROSPECT AVE APT 7
REDONDO BEACH, CA
ZIP 90277-545
Phone: (310) 373-4556

The enumeration date for this NPI number is 2/22/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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