Individual provider · Type 1 NPI

Stacy Blalock, LPC

Professional Counselor · Mcdonough, GA

NPI number 1891343596 Active

Practice location

1944 Brannan Rd
Mcdonough, GA 30253-4310

Call (678) 289-6981 Map

Fax (678) 289-6983

Mailing address

114 Riveredge Dr
Mcdonough, GA 30252-4141

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC011063 (GA)

Professional Counselor: Definition to come...

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About NPI 1891343596

Stacy Blalock, LPC's National Provider Identifier is 1891343596, issued on Aug 27, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mcdonough, GA. The record was last updated on Aug 27, 2019.