Individual
MS. KRISTY BLACKMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
405 W FRONT ST, GRAND LEDGE, MI 48837-1019
(517) 526-3787
(888) 622-1865
Mailing address
405 W FRONT ST, GRAND LEDGE, MI 48837-1019
(517) 526-3787
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401014911
MI
101YM0800X
Mental Health Counselor
Primary
6401014911
MI
Other
Enumeration date
05/21/2013
Last updated
04/30/2026
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