Christopher Blackwell
Counselor in Hayward, CA. Individual provider (NPI-1).
NPI number1699224980
StatusActive
Last updated in NPPESOct 20, 2020
Details
- NPI
- 1699224980
- Entity type
- Individual (NPI-1)
- Name
- Christopher Blackwell
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2016
- Certification date
- Oct 20, 2020
- Last updated
- Oct 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
| 104100000X | Social Worker | – | – |
Practice location
1065 A StHayward, CA 94541-4122
Phone 510-270-1150 · Fax 510-538-5215
Mailing address
1065 A StHayward, CA 94541-4122
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