Individual
CHRISTINA BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1576 MERRITT BLVD STE 8, DUNDALK, MD 21222-2114
(443) 530-6533
(443) 503-5436
Mailing address
7811 WISE AVE, DUNDALK, MD 21222-3339
(443) 530-6533
(443) 503-5436
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC12544
MD
101YM0800X
Mental Health Counselor
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Other
Enumeration date
03/10/2021
Last updated
07/07/2022
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