Jonathan D Blackwell, T-LPC
Jonathan D Blackwell, T-LPC is a Professional Counselor in Wichita, Kansas. Licensed in Kansas. Registered with an NPI since 2020.
- Licensed in
- KS
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
635 N Main StWichita, KS 67203-3602
Phone: (316) 660-7525
Fax: (316) 660-1897
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 03842 (KS) |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X · Licence 3551 (KS) |
Record details
| NPI number | 1942831862 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | T-LPC |
| Sole proprietor | No |
| NPI enumerated | January 29, 2020 |
| Last updated in NPPES | July 7, 2021 |
| Certification date | July 7, 2021 |
| Mailing address | 271 W 3rd St N, Wichita, KS 67202-1212 |
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