Individual
MELISSA SHEREE BLACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2414 BUNKER HILL DR, BATON ROUGE, LA 70808-3303
(225) 308-8080
Mailing address
8122 STONELAKE AVE, BATON ROUGE, LA 70820-8754
(318) 282-6814
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC9233
LA
101YP2500X
Professional Counselor
Primary
PLC9233
LA
Other
Enumeration date
08/10/2022
Last updated
03/19/2026
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