Blackwell, Karen M

Blackwell, Karen M is an individual health care provider with primary practice located at 211 E Third St , Winslow AZ 86047-3802. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Blackwell, Karen M can be contacted via phone (928) 289-4658.

Contact Information

Primary practice address
211 E Third St Winslow AZ 86047-3802
Phone: (928) 289-4658
Fax: (928) 289-3775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC10962 Arizona
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT10163 Arizona

Profile Details

NPI number 1659326262
LBN Legal business name Blackwell, Karen M
Credentials LMFT LISAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659326262 NPPES
Arizona Other 851403 AHCCCS

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