Individual
LEE BLACKWELL BLACKWELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.B.S
Contact information
Practice address
831 FAIRWAYS CT STE A, STOCKBRIDGE, GA 30281-7278
(770) 389-1925
Mailing address
831 FAIRWAYS CT STE A, STOCKBRIDGE, GA 30281-7278
(770) 389-1925
(770) 389-3077
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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