Individual
ALICE BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, E.DS., LPC-A
Contact information
Practice address
8 SYCAMORE DR, GREENVILLE, SC 29607-2965
(864) 534-1224
Mailing address
8 SYCAMORE DR, GREENVILLE, SC 29607-2965
(864) 238-9348
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8547
SC
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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