Guy Blackstone, LPC, CRC

NPI #1700424850 in Fitchburg, Wisconsin

Provider Information

NPI Number: 1700424850
Entity Type: Individual
Name: Guy Blackstone, LPC, CRC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPC, CRC
Enumeration Date: Dec 18, 2019
Last Updated: Jun 22, 2022

Practice Location

Address: 2961 YARMOUTH GREENWAY DR STE 2
City: Fitchburg
State: Wisconsin
ZIP Code: 53711-5809
Phone: (608) 504-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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