Individual
MISS CARMEN SHANISE BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, LCMHC
Contact information
Practice address
339 ESTHER CIR, KANNAPOLIS, NC 28083-9026
(704) 224-3260
Mailing address
339 ESTHER CIR, KANNAPOLIS, NC 28083-9026
(704) 298-8926
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A8739
NC
Other
Enumeration date
04/19/2011
Last updated
03/20/2025
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