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Shawn Thornton Blakley, MSE,CADCIII
Professional Counselor in Green Bay, Wisconsin
NPI 1417022468

Shawn Thornton Blakley is a Professional Counselor based in Green Bay, WI and is specialized in Professional. Shawn Thornton Blakley practices in Green Bay, WI and has the professional credentials of MSE,CADCIII. The NPI Number for Shawn Thornton Blakley is 1417022468 and holds a License No. CADCIII (Wisconsin).

The current practice location address for Shawn Thornton Blakley is 130 E Walnut St, Green Bay, WI and can be reached out via phone at 920-437-8256 and via fax at 920-437-1188.

Location: 130 E Walnut St, Green Bay, WI, 54301-4239
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Provider Profile Details
NPI Number
1417022468
Provider Name
Shawn Thornton Blakley
Credential
MSE,CADCIII
Provider Entity Type
Individual
Gender
Male
Address
130 E Walnut St, Green Bay, WI, 54301-4239
Phone Number
920-437-8256
Fax Number
920-437-1188
Provider Enumeration Date
11/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39626900 05 WI
institution
Provider Business Practice Location Address Details
Address
130 E Walnut St
City
State
Zip
54301-4239
Phone Number
920-437-8256
Fax Number
920-437-1188
person
Provider Business Mailing Address Details
Address
130 E Walnut St
City
State
Zip
54301-4239
Phone Number
920-437-8256
Fax Number
920-437-1188
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
792-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
CADCIII (Wisconsin)
Definition
Definition to come...
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