Individual provider · Type 1 NPI

Shannon Blalock, MS

Mental Health Counselor · Camilla, GA

NPI number 1629408448 Active

Practice location

198 S Macarthur Dr
Camilla, GA 31730-6370

Call (229) 336-2247 Map

Fax (229) 336-8009

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629408448

Shannon Blalock, MS's National Provider Identifier is 1629408448, issued on Nov 14, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Camilla, GA. The record was last updated on Nov 14, 2013.