person
Grace M Blackwood, LPC
Mental Health Counselor in Fairburn, Georgia
NPI 1104071133

Grace M Blackwood is a Mental Health Counselor based in Fairburn, GA and is specialized in Mental Health. Grace M Blackwood practices in Fairburn, GA and has the professional credentials of LPC. The NPI Number for Grace M Blackwood is 1104071133 and holds a License No. LPC004495 (Georgia).

The current practice location address for Grace M Blackwood is 570 Windsor Way, Fairburn, GA and can be reached out via phone at 770-365-3140 and via fax at 770-703-7915.

Location: 570 Windsor Way, Fairburn, GA, 30213-6446
person
Provider Profile Details
NPI Number
1104071133
Provider Name
Grace M Blackwood
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
570 Windsor Way, Fairburn, GA, 30213-6446
Phone Number
770-365-3140
Fax Number
770-703-7915
Provider Enumeration Date
11/18/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
570 Windsor Way
City
State
Zip
30213-6446
Phone Number
770-365-3140
Fax Number
770-703-7915
person
Provider Business Mailing Address Details
Address
570 Windsor Way
City
State
Zip
30213-6446
Phone Number
770-365-3140
Fax Number
770-703-7915
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC004495 (Georgia)
Definition
Definition to come...
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