Individual
ALEXIS K BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 MEADOWVIEW DR STE 5, DANVILLE, VA 24541-7352
(434) 685-1570
(434) 685-1477
Mailing address
223 W MOORE ST, EDEN, NC 27288-3357
(336) 552-3920
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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