person
Mr. Samuel Austin Blackwood, CADC,CAS
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1568649937

Samuel Austin Blackwood is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Samuel Austin Blackwood practices in San Diego, CA and has the professional credentials of CADC,CAS. The NPI Number for Samuel Austin Blackwood is 1568649937 and holds a License No. (California).

The current practice location address for Samuel Austin Blackwood is 3148 Midway Dr, San Diego, CA and can be reached out via phone at 619-363-0853 and via fax at 619-362-9905.

Location: 3148 Midway Dr, San Diego, CA, 92131-3582
person
Provider Profile Details
NPI Number
1568649937
Provider Name
Samuel Austin Blackwood
Credential
CADC,CAS
Provider Entity Type
Individual
Gender
Male
Address
3148 Midway Dr, San Diego, CA, 92131-3582
Phone Number
619-363-0853
Fax Number
619-362-9905
Provider Enumeration Date
01/28/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3148 Midway Dr
City
State
Zip
92110-4539
Phone Number
619-363-0853
Fax Number
619-362-9905
person
Provider Business Mailing Address Details
Address
3148 Midway Dr
City
State
Zip
92110-4539
Phone Number
619-363-0853
Fax Number
619-362-9905
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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