Angelique Nicole Blackwell, CGG61649106
NPI #1831904218 in Renton, Washington
Provider Information
- NPI Number
- 1831904218
- Entity Type
- Individual
- Name
- Angelique Nicole Blackwell, CGG61649106
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- CGG61649106
- Enumeration Date
- Feb 11, 2025
- Last Updated
- Feb 11, 2025
Practice Location
- Address
- 15 S GRADY WAY STE 245
- City
- Renton
- State
- Washington
- ZIP Code
- 98057-3209
- Phone
- (206) 679-8291
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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