Individual provider · Type 1 NPI
Jo Atlanta Blackstone, M.S., L.C.P.C.
Professional Counselor · Gambrills, MD
NPI number
1376858282
Active
Practice location
833 Annapolis Rd
Gambrills, MD 21054-1113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LC3086 (MD) |
| Professional Counselor Primary | 101YP2500X | LC3086 (MD) |
Professional Counselor: Definition to come...
About NPI 1376858282
Jo Atlanta Blackstone, M.S., L.C.P.C.'s National Provider Identifier is 1376858282, issued on Aug 16, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gambrills, MD. The record was last updated on Aug 16, 2010.