Individual
MRS. ALISHA LACHELLE BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 858-2700
(405) 858-2880
Mailing address
9313 NW 76TH ST, YUKON, OK 73099-9790
(405) 410-7452
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1447
OK
Other
Enumeration date
06/21/2007
Last updated
05/09/2024
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