Individual
MS. CAROLYN SUE BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LCSW
Contact information
Practice address
428 ESCALONA DR, SANTA CRUZ, CA 95060-2609
(831) 234-1951
(831) 480-5808
Mailing address
428 ESCALONA DR, SANTA CRUZ, CA 95060-2609
(831) 234-1951
(831) 480-5808
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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