Lisa Blackmon, LPC

NPI #1972867794 in Belton, Texas

Provider Information

NPI Number: 1972867794
Entity Type: Individual
Name: Lisa Blackmon, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Jun 26, 2012
Last Updated: Jun 26, 2012

Practice Location

Address: 2170 N MAIN ST STE D
City: Belton
State: Texas
ZIP Code: 76513-1919
Phone: (254) 773-6787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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