Individual provider · Type 1 NPI

Khary Blackmon, M.S

Mental Health Counselor · Philadelphia, PA

NPI number 1528441920 Active

Practice location

9122 Old Newtown Rd, Apt 1A
Philadelphia, PA 19115-5000

Call (215) 964-1410 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1528441920

Khary Blackmon, M.S's National Provider Identifier is 1528441920, issued on Jul 2, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 2, 2015.