Individual
MS. CHARLOTTE M. BLACKSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 779-4209
(803) 779-2362
Mailing address
104 MOYER DR, CHAPIN, SC 29036-9775
(803) 345-1365
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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