Individual
CORINNE BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCMHC, LPC
Contact information
Practice address
3210 N PLEASANTBURG DR # 1096, GREENVILLE, SC 29609-2925
(904) 440-0295
Mailing address
3210 N PLEASANTBURG DR # 1096, GREENVILLE, SC 29609-2925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
068.0137122TELE
VT
101YM0800X
Mental Health Counselor
Primary
11893
SC
101YM0800X
Mental Health Counselor
18358
NC
101YM0800X
Mental Health Counselor
Primary
8349
SC
Other
Enumeration date
04/04/2023
Last updated
04/30/2026
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