Individual
MERLYN BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6325 N CENTER DR STE 208, NORFOLK, VA 23502-0020
(757) 961-3255
(757) 961-3265
Mailing address
6325 N CENTER DR STE 208, NORFOLK, VA 23502-0020
(757) 961-3255
(757) 961-3265
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009290
VA
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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