Individual provider · Type 1 NPI

Lydia C.w. Blackman-Johnson

Counselor · Lehigh Acres, FL

NPI number 1336495811 Active

Practice location

128 Gordan Avenue S.
Lehigh Acres, FL 33973

Fax (239) 603-5425

Mailing address

P.o. Box 1483
Lehigh Acres, FL 33970

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed
Social Worker 104100000XNone 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.

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About NPI 1336495811

Lydia C.w. Blackman-Johnson's National Provider Identifier is 1336495811, issued on Aug 2, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lehigh Acres, FL. The record was last updated on Aug 2, 2012.