Individual
REBECCA LYNN BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2388 UNIVERSITY AVE W STE 202, SAINT PAUL, MN 55114-1769
(800) 945-2401
Mailing address
2935 FREMONT AVE S APT 305, MINNEAPOLIS, MN 55408-2089
(502) 419-5964
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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