DOMONIQUE BLACKMON M.S. LPCA NPI 1770963597

NPI Information

NPI: 1770963597
Provider Name: DOMONIQUE BLACKMON, M.S., LPCA
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1708 TRAWICK RD
SUITE 101
RALEIGH, NC
ZIP 27604
Phone: (919) 896-7536
Get Directions

Domonique Blackmon, M.S., LPCA is a professional counselor in Raleigh, NC. Domonique Blackmon, M.S., LPCA NPI is 1770963597. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1708 TRAWICK RD
SUITE 101
RALEIGH, NC
ZIP 27604-897
Phone: (919) 896-7536
Fax: (919) 896-7537

The enumeration date for this NPI number is 6/6/2015 and was last updated on 6/6/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	A11622	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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