Individual
CHIDALE MARIE BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
121 CHERRY ST, BARNWELL, SC 29812-3026
(706) 699-5682
Mailing address
121 CHERRY ST, BARNWELL, SC 29812-3026
(706) 699-5682
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8599
SC
101YP2500X
Professional Counselor
LPC005525
GA
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
12/18/2006
Last updated
12/12/2022
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