Individual
MS. LAKEISHA M BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
(734) 287-1953
Mailing address
2900 CONNER, DETROIT, MI 48215
(313) 824-8000
(313) 824-5589
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/11/2014
Last updated
06/28/2022
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