Individual
MS. LINDA CAROL BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
1991 LAKELAND DRIVE, SUITE E, JACKSON, MS 39216
(601) 981-8006
(601) 981-0910
Mailing address
1991 LAKELAND DRIVE, SUITE E, JACKSON, MS 39216
(601) 981-8006
(601) 981-0910
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0408
MS
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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