Bradley Thomas Blackwell
Bradley Thomas Blackwell is an Addiction (Substance Use Disorder) Counselor in Santa Rosa, California. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
2403 Professional Center DrSanta Rosa, CA 95403
Phone: (707) 360-4552
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1801785001 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 1, 2025 |
| Last updated in NPPES | July 1, 2025 |
| Certification date | June 13, 2025 |
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