MISS Nichole Blackmon, LPC
NPI #1932653482 in Forestville, Maryland
Provider Information
- NPI Number
- 1932653482
- Entity Type
- Individual
- Name
- MISS Nichole Blackmon, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Aug 12, 2016
- Last Updated
- Aug 12, 2016
Practice Location
- Address
- 2110 BROOKS DR
- Address 2
- APARTMENT 404
- City
- Forestville
- State
- Maryland
- ZIP Code
- 20747-1064
- Phone
- (202) 431-6266
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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