Individual provider · Type 1 NPI

Blake Hamilton Clemmons, LPCA

Professional Counselor · Charlotte, NC

NPI number 1427417641 Active

Practice location

2124 Crown Centre Dr, Suite 400
Charlotte, NC 28227-7803

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XA12043 (NC)

Professional Counselor: Definition to come...

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About NPI 1427417641

Blake Hamilton Clemmons, LPCA's National Provider Identifier is 1427417641, issued on Feb 16, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Charlotte, NC. The record was last updated on Feb 16, 2016.