Individual
AZSURDE BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3837 TELEGRAPH AVE, OAKLAND, CA 94609-2419
(510) 450-1190
Mailing address
3837 TELEGRAPH AVE, OAKLAND, CA 94609-2419
(510) 450-1190
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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