Individual provider · Type 1 NPI

Andria Blackstock

Counselor · Thomaston, GA

NPI number 1083468177 Active

Practice location

103 John B Gordon Spur
Thomaston, GA 30286-6528

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Counselor 225C00000X619834 (GA)
Counselor Primary 101Y00000XNone listed

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.

About NPI 1083468177

Andria Blackstock's National Provider Identifier is 1083468177, issued on Apr 15, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Thomaston, GA. The record was last updated on Apr 15, 2024.