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Mr. Justin Lee Blackwell, CAP,ICADC,CAC-AD
Addiction (Substance Use Disorder) Counselor in Lehigh Acres, Florida
NPI 1871011486

Justin Lee Blackwell is an Addiction (Substance Use Disorder) Counselor based in Lehigh Acres, FL and is specialized in Addiction (Substance Use Disorder). Justin Lee Blackwell practices in Lehigh Acres, FL and has the professional credentials of CAP,ICADC,CAC-AD. The NPI Number for Justin Lee Blackwell is 1871011486 and holds a License No. ICADC.0000031 (Florida).

The current practice location address for Justin Lee Blackwell is 1415 Homestead Rd N, Lehigh Acres, FL and can be reached out via phone at 239-491-8092 and via fax at 239-491-9213.

Location: 1415 Homestead Rd N, Lehigh Acres, FL, 33936-4830
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871011486
Provider Name
Justin Lee Blackwell
Credential
CAP,ICADC,CAC-AD
Provider Entity Type
Individual
Gender
Male
Address
1415 Homestead Rd N, Lehigh Acres, FL, 33936-4830
Phone Number
239-491-8092
Fax Number
239-491-9213
Provider Enumeration Date
09/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1415 Homestead Rd N
City
Lehigh Acres
State
Florida
Zip
33936-4830
Phone Number
239-491-8092
Fax Number
239-491-9213
person
Provider Business Mailing Address Details
Address
1415 Homestead Rd N
City
Lehigh Acres
State
Florida
Zip
33936-4830
Phone Number
239-491-8092
Fax Number
239-491-9213
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
AC2946 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
ICADC.0000031 (Florida)
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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