Individual
KAREN M BLACKWELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMFT LISAC
Contact information
Practice address
211 E THIRD ST, WINSLOW, AZ 86047-3802
(928) 289-4658
(928) 289-3775
Mailing address
211 E THIRD ST, WINSLOW, AZ 86047-3802
(928) 289-4658
(928) 289-3775
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC10962
AZ
106H00000X
Marriage & Family Therapist
LMFT10163
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
851403
AHCCCS
AZ
Enumeration date
05/23/2006
Last updated
09/11/2025
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