MR. Justin Lee Blackwell, CAP, ICADC, CAC-AD

NPI #1871011486 in Lehigh Acres, Florida

Provider Information

NPI Number: 1871011486
Entity Type: Individual
Name: MR. Justin Lee Blackwell, CAP, ICADC, CAC-AD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CAP, ICADC, CAC-AD
Enumeration Date: Sep 4, 2017
Last Updated: May 20, 2023

Practice Location

Address: 1415 HOMESTEAD RD N
City: Lehigh Acres
State: Florida
ZIP Code: 33936-4830
Phone: (239) 491-8092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary
Peer Specialist	175T00000X

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