Individual
MISS NICHOLE BLACKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2110 BROOKS DR, APARTMENT 404, FORESTVILLE, MD 20747-1064
(202) 431-6266
Mailing address
2110 BROOKS DR, APARTMENT 404, FORESTVILLE, MD 20747-1064
(202) 431-6266
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LC6529
MD
101YP2500X
Professional Counselor
Primary
PRC14727
DC
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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