Individual
MRS. KATHY R. BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
902 SHANGHAI RD, BALL, LA 71405-3348
(318) 729-0389
(318) 445-6503
Mailing address
902 SHANGHAI RD, BALL, LA 71405-3348
(318) 729-0389
(318) 445-6503
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
993
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457529349
NPI - COMPASSIONATE COUNSELING CENTER, L.L.C.
—
Enumeration date
05/08/2008
Last updated
05/08/2008
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