Individual provider · Type 1 NPI

Jill Blackwelder, LPCS, CCS, LCAS, NCC

Mental Health Counselor · Statesville, NC

NPI number 1902954027 Active

Practice location

536 Signal Hill Drive Extension
Statesville, NC 28625

Call (704) 872-0234 Map

Fax (704) 818-1115

Mailing address

536 Signal Hill Drive Ext
Statesville, NC 28625-4391

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2135 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1902954027

Jill Blackwelder, LPCS, CCS, LCAS, NCC's National Provider Identifier is 1902954027, issued on Jan 8, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Statesville, NC. The record was last updated on Jul 17, 2012.