| Shantae Blackwell, | |
|
1422 Kearsley Rd, Sicklerville, NJ 08081-5205 | |
| (856) 308-5891 | |
| Not Available |
| Full Name | Shantae Blackwell |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1422 Kearsley Rd, Sicklerville, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265824502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shantae Blackwell, 770 Woodlane Rd, Westampton, NJ 08060-3804 Ph: (609) 267-5928 | Shantae Blackwell, 1422 Kearsley Rd, Sicklerville, NJ 08081-5205 Ph: (856) 308-5891 |
Jacqueline Thomas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Independence Blvd, Sicklerville, NJ 08081 Phone: 856-861-5448 | |
April Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Independence Blvd, Sicklerville, NJ 08081 Phone: 856-861-5448 | |
Kia Brooks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 Conifer Way, Sicklerville, NJ 08081 Phone: 856-493-8172 | |
Giovon Washington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Independence Blvd, Sicklerville, NJ 08081 Phone: 856-861-5448 | |
Kenneth Selby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Independence Blvd, Sicklerville, NJ 08081 Phone: 856-861-5448 | |
Tyeka Morris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Independence Blvd, Sicklerville, NJ 08081 Phone: 856-861-5448 | |
Samira Deberry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Independence Blvd, Sicklerville, NJ 08081 Phone: 856-861-5448 |