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Individual

MRS. BEATRICE L BLACKMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4115 MEDICAL DR STE 410, SAN ANTONIO, TX 78229-5637
(210) 369-9424
(210) 781-4027
Mailing address
7970 FREDERICKSBURG RD # 101-352, SAN ANTONIO, TX 78229-3890
(210) 369-9424
(210) 781-4027

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17376
TX
1041C0700X
Clinical Social Worker
Primary
67768
TX

Other

Enumeration date
06/08/2026
Last updated
06/09/2026
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