Individual provider · Type 1 NPI

Thomas Blackmon

Mental Health Counselor · Hartsville, SC

NPI number 1053431064 Active

Practice location

217 E Carolina Ave
Hartsville, SC 29550-4305

Call (843) 332-4141 Map

Mailing address

125 E Cheves St
Florence, SC 29506-2526

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053431064

Thomas Blackmon's National Provider Identifier is 1053431064, issued on Mar 31, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hartsville, SC. The record was last updated on Jul 8, 2007.