| Shawn Thornton Blakley, MSE, CADCIII | |
|
130 E Walnut St, Suite 706, Green Bay, WI 54301-4239 | |
| (920) 437-8256 | |
| (920) 437-1188 |
| Full Name | Shawn Thornton Blakley |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 130 E Walnut St, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417022468 | NPI | - | NPPES |
| 39626900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CADCIII (Wisconsin) | Primary |
| 101YP2500X | Counselor - Professional | 792-125 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Thornton Blakley, MSE, CADCIII 130 E Walnut St, Suite 706, Green Bay, WI 54301-4239 Ph: (920) 437-8256 | Shawn Thornton Blakley, MSE, CADCIII 130 E Walnut St, Suite 706, Green Bay, WI 54301-4239 Ph: (920) 437-8256 |
Louise Clara Daul, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 N Oakland Ave, Green Bay, WI 54303 Phone: 920-770-4088 Fax: 651-705-0026 | |
Kristin Flannery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2920 S Webster Ave, Green Bay, WI 54301 Phone: 920-639-1914 | |
Mr. John Barajas, LPC-IT, SAC-IT Counselor Medicare: Medicare Enrolled Practice Location: 424 S Monroe Ave Ste 201, Green Bay, WI 54301 Phone: 920-445-0170 Fax: 920-445-0174 | |
Robyn L Rickert, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 E Walnut St, Suite 406, Green Bay, WI 54301 Phone: 920-884-1187 Fax: 920-227-4100 | |
Joanne Marie Torres, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2640 West Point Road, Green Bay, WI 54304 Phone: 920-490-3790 | |
Mr. Christopher Anthony Buckman, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1499 6th St, Green Bay, WI 54304 Phone: 920-497-6161 Fax: 920-498-0476 | |
Jodi Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2325 Verlin Rd Ste 203, Green Bay, WI 54311 Phone: 920-655-0859 |