Individual
DR. BARBARA BLACKMORE BIRGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC, NCC
Contact information
Practice address
1406 REDCOAT DR, CHARLOTTE, NC 28211-4303
(704) 364-1415
Mailing address
1406 REDCOAT DR, CHARLOTTE, NC 28211-4303
(704) 364-1415
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2624
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12285
BLUE CROSS BLUE SHIELD
NC
Enumeration date
05/14/2008
Last updated
05/14/2008
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