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
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Counselor | 225C00000X | 619834 (GA) |
| Counselor Primary | 101Y00000X | None 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.