Individual provider · Type 1 NPI

Latreasa Denise Blackmon, LPC

Counselor · Naperville, IL

NPI number 1063179547 Active

Practice location

500 E Ogden Ave Ste 101
Naperville, IL 60563-3264

Call (331) 444-2342 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X178017570 (IL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1063179547

Latreasa Denise Blackmon, LPC's National Provider Identifier is 1063179547, issued on Nov 19, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Naperville, IL. The record was last updated on Nov 19, 2021.