Individual
KATHERINE HOPE BLACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2764 PLEASANT RD STE A413, FORT MILL, SC 29708-7213
(800) 857-0709
(803) 560-0414
Mailing address
2764 PLEASANT RD STE A413, FORT MILL, SC 29708-7213
(800) 857-0709
(803) 560-0414
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
8984
SC
101YM0800X
Mental Health Counselor
8984
SC
101YP2500X
Professional Counselor
Primary
8984
SC
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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