Individual
DANIEL R BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
175 W FRANKLIN BLVD, GASTONIA, NC 28052-4145
(704) 865-3529
Mailing address
11903 AUBREYWOOD DR, CHARLOTTE, NC 28214-1033
(970) 903-2267
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/24/2012
Last updated
06/08/2015
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