person
Ms. Susan Corbett Blackwell, LPC
Professional Counselor in Gainesville, Virginia
NPI 1235153263

Susan Corbett Blackwell is a Professional Counselor based in Gainesville, VA and is specialized in Professional. Susan Corbett Blackwell practices in Gainesville, VA and has the professional credentials of LPC. The NPI Number for Susan Corbett Blackwell is 1235153263 and holds a License No. 0701003055 (Virginia).

The current practice location address for Susan Corbett Blackwell is 7521 Virginia Oaks Dr, Gainesville, VA and can be reached out via phone at 540-272-6431 and via fax at 703-754-9168.

Location: 7521 Virginia Oaks Dr, Gainesville, VA, 20155-3065
person
Provider Profile Details
NPI Number
1235153263
Provider Name
Susan Corbett Blackwell
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
7521 Virginia Oaks Dr, Gainesville, VA, 20155-3065
Phone Number
540-272-6431
Fax Number
703-754-9168
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
084592 01 VA SENTARA
5411807 05 VA
116527 01 VA ANTHEM
289741 01 VA MAMSI
institution
Provider Business Practice Location Address Details
Address
7521 Virginia Oaks Dr
City
State
Zip
20155-3831
Phone Number
540-272-6431
Fax Number
703-754-9168
person
Provider Business Mailing Address Details
Address
7521 Virginia Oaks Dr
City
State
Zip
20155-3831
Phone Number
540-272-6431
Fax Number
703-754-9168
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701003055 (Virginia)
Definition
Definition to come...
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