JUSTIN L BLACKWELL, CAP, ICADC, CAC-AD LEHIGH ACRES, FL

Contact Information

JUSTIN L BLACKWELL, CAP, ICADC, CAC-AD

1415 HOMESTEAD RD N
LEHIGH ACRES, FL 33936-4830

Phone: 239-491-8092
Fax: 239-491-9213
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Addiction (Substance Use Disorder)	101YA0400X
Other Service Providers	175T00000X

Indicates primary specialty

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NPI Profile & details for JUSTIN L BLACKWELL · (Male)

NPI Number	`1871011486`
Status	Active
Credentials	CAP, ICADC, CAC-AD
Entity	Individual
Enumeration date	09/04/2017
Last updated	05/20/2023 - About 3 years ago
Sole proprietor ¹	No
Identifiers	FL License # CAP.0100424 FL License # ICADC.0000031 MD License # AC2946 MD License # PR0153
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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JUSTIN L BLACKWELL, CAP, ICADC, CAC-AD – NPI #1871011486Addiction (Substance Use Disorder)

Contact Information

Specialty

Addiction (Substance Use Disorder)

Other Service Providers

NPI Profile & details for JUSTIN L BLACKWELL · (Male)

Reviews for JUSTIN L BLACKWELL

JUSTIN L BLACKWELL, CAP, ICADC, CAC-AD – NPI #1871011486
Addiction (Substance Use Disorder)