Individual provider · Type 1 NPI
Nichole Blackmon, LPC
Professional Counselor · Forestville, MD
NPI number
1932653482
Active
Practice location
2110 Brooks Dr, Apartment 404
Forestville, MD 20747-1064
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | LC6529 (MD) |
| Professional Counselor Primary | 101YP2500X | PRC14727 (DC) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1932653482
Nichole Blackmon, LPC's National Provider Identifier is 1932653482, issued on Aug 12, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Forestville, MD. The record was last updated on Aug 12, 2016.