Individual
ALICE P BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
65 N BROAD ST, BREVARD, NC 28712-3725
(828) 631-3973
(828) 631-9280
Mailing address
PO BOX 2187, SYLVA, NC 28779-2187
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A14308
NC
Other
Enumeration date
12/07/2018
Last updated
09/30/2019
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