Mr. Raymond Blackwell, LADACII
Mr. Raymond Blackwell, LADACII is an Addiction (Substance Use Disorder) Counselor in Brush Creek, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.
- Licensed in
- TN
- In the registry since
- 2020
Practice location Address checks out
832 Main St SBrush Creek, TN 38547
Phone: (615) 630-8908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence LDC0000001425 (TN) |
|---|
Record details
| NPI number | 1710599543 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LADACII |
| Sole proprietor | Yes |
| NPI enumerated | August 21, 2020 |
| Last updated in NPPES | September 28, 2020 |
| Certification date | September 27, 2020 |