Individual
CHRISTOPHER BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1065 A ST, HAYWARD, CA 94541-4122
(510) 270-1150
(510) 538-5215
Mailing address
1065 A ST, HAYWARD, CA 94541-4122
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
09/27/2016
Last updated
10/20/2020
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