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Mr. Thomas Blackmon
Mental Health Counselor in Hartsville, South Carolina
NPI 1053431064

Thomas Blackmon is a Mental Health Counselor based in Florence, SC and is specialized in Mental Health. Thomas Blackmon practices in Hartsville, SC. The NPI Number for Thomas Blackmon is 1053431064 and holds a License No. (South Carolina).

The current practice location address for Thomas Blackmon is 217 E Carolina Ave, Hartsville, SC and can be reached out via phone at 843-332-4141.

Location: 217 E Carolina Ave, Hartsville, SC, 29506-2526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053431064
Provider Name
Thomas Blackmon
Credential
Provider Entity Type
Individual
Gender
Male
Address
217 E Carolina Ave, Hartsville, SC, 29506-2526
Phone Number
843-332-4141
Fax Number
Provider Enumeration Date
03/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
376241 05 SC
institution
Provider Business Practice Location Address Details
Address
217 E Carolina Ave
City
Hartsville
State
South Carolina
Zip
29550-4305
Phone Number
843-332-4141
Fax Number
person
Provider Business Mailing Address Details
Address
217 E Carolina Ave
City
Hartsville
State
South Carolina
Zip
29550-4305
Phone Number
843-332-4141
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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