Johnny Blackwell Jr., AA
Johnny Blackwell Jr., AA is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
3340 Kemper St Ste 103San Diego, CA 92110-4906
Phone: (619) 758-1433
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1558708016 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AA |
| Sole proprietor | Yes |
| NPI enumerated | May 23, 2013 |
| Last updated in NPPES | May 23, 2013 |
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