person
Jay Blackwell, MA,CPSW,LMHC
Peer Specialist in Albuquerque, New Mexico
NPI 1063178440

Jay Blackwell is a Peer Specialist based in Albuquerque, NM. Jay Blackwell practices in Albuquerque, NM and has the professional credentials of MA,CPSW,LMHC. The NPI Number for Jay Blackwell is 1063178440 and holds a License No. CTL0223091 (New Mexico).

The current practice location address for Jay Blackwell is 3150 Carlisle Blvd Ne Ste 105, Albuquerque, NM and can be reached out via phone at 505-652-4659.

Location: 3150 Carlisle Blvd Ne Ste 105, Albuquerque, NM, 87110-1680
person
Provider Profile Details
NPI Number
1063178440
Provider Name
Jay Blackwell
Credential
MA,CPSW,LMHC
Provider Entity Type
Individual
Gender
Male
Address
3150 Carlisle Blvd Ne Ste 105, Albuquerque, NM, 87110-1680
Phone Number
505-652-4659
Fax Number
Provider Enumeration Date
11/10/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CTL0223091 01 NM NM REGULATION AND LICENSING DEPARTMENT
1241 01 NM OFFICE OF PEER RECOVERY AND ENGAGEMENT
institution
Provider Business Practice Location Address Details
Address
3150 Carlisle Blvd Ne Ste 105
City
State
Zip
87110-1680
Phone Number
505-652-4659
Fax Number
person
Provider Business Mailing Address Details
Address
3150 Carlisle Blvd Ne Ste 105
City
State
Zip
87110-1680
Phone Number
505-652-4659
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1241 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
CTL0223091 (New Mexico)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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