Individual
MS. ROWAN BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
400 MAIN ST STE 200A-6, HILTON HEAD, SC 29926-4610
(912) 417-9541
Mailing address
300 BLUE MOON XING APT 7301, POOLER, GA 31322-9756
(301) 523-3220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC011268
GA
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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