Individual
DARIA BLACKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
30 OLD KINGS HWY S FL 2, DARIEN, CT 06820-4551
(203) 247-2508
Mailing address
2 ROWAYTON WOODS DR, NORWALK, CT 06854-3929
(203) 247-2508
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3091
CT
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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