person
Mr. Theodore William Blickwedel II, MSW,LICSW
Mental Health Counselor in Johnston, Rhode Island
NPI 1669957932

Theodore William Blickwedel II is a Mental Health Counselor based in Johnston, RI and is specialized in Mental Health. Theodore William Blickwedel II practices in Johnston, RI and has the professional credentials of MSW,LICSW. The NPI Number for Theodore William Blickwedel II is 1669957932 and holds a License No. ISW02141 (Rhode Island).

The current practice location address for Theodore William Blickwedel II is 1395 Atwood Ave Ste 201, Johnston, RI and can be reached out via phone at 401-383-7633 and via fax at 877-266-4503.

Location: 1395 Atwood Ave Ste 201, Johnston, RI, 02919-4931
person
Provider Profile Details
NPI Number
1669957932
Provider Name
Theodore William Blickwedel II
Credential
MSW,LICSW
Provider Entity Type
Individual
Gender
Male
Address
1395 Atwood Ave Ste 201, Johnston, RI, 02919-4931
Phone Number
401-383-7633
Fax Number
877-266-4503
Provider Enumeration Date
10/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1395 Atwood Ave Ste 201
City
State
Zip
02919-4931
Phone Number
401-383-7633
Fax Number
877-266-4503
person
Provider Business Mailing Address Details
Address
1395 Atwood Ave Ste 201
City
State
Zip
02919-4931
Phone Number
401-383-7633
Fax Number
877-266-4503
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
ISW02141 (Rhode Island)
Definition
Definition to come...
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