Individual
LINDSAY LOWERY BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LCAS
Contact information
Practice address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
(704) 782-3131
Mailing address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-22835
NC
1041C0700X
Clinical Social Worker
C011684
NC
1041C0700X
Clinical Social Worker
P010583
NC
Other
Enumeration date
06/17/2016
Last updated
06/29/2020
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