Mindie M Blackshear, LPC

NPI #1891442703 in Demorest, Georgia

Provider Information

NPI Number: 1891442703
Entity Type: Individual
Name: Mindie M Blackshear, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: Mar 10, 2022
Last Updated: Mar 10, 2022

Practice Location

Address: 196 SCOGGINS DR
City: Demorest
State: Georgia
ZIP Code: 30535-5354
Phone: (706) 894-3712

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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