Individual
MRS. SUZANNE NORMAND BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
104 E HIGH ST, MANCHESTER, TN 37355-1525
(931) 723-0380
(931) 723-0358
Mailing address
104 E HIGH ST, MANCHESTER, TN 37355-1525
(931) 723-0380
(931) 723-0358
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4918
TN
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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