Individual provider · Type 1 NPI

Jacob Stephen Blackstock, LCMHCA

Mental Health Counselor · Greensboro, NC

NPI number 1740870997 Active

Practice location

231 N Spring St
Greensboro, NC 27401-2231

Call (336) 899-8800 Map

Mailing address

3026 Stratford Dr
Greensboro, NC 27408-2625

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA13081 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1740870997

Jacob Stephen Blackstock, LCMHCA's National Provider Identifier is 1740870997, issued on Jan 21, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greensboro, NC. The record was last updated on Jan 21, 2021.