Individual
LISA BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3745 WHIPPLE AVE NW, CANTON, OH 44718-4805
(330) 915-4854
Mailing address
3745 WHIPPLE AVE NW, CANTON, OH 44718-4805
(330) 915-4854
(234) 285-6767
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.2303356
OH
Other
Enumeration date
11/19/2020
Last updated
01/16/2024
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