person
Carroll D. Blackledge, MA,P-LPC
Professional Counselor in Jackson, Mississippi
NPI 1295292274

Carroll D. Blackledge is a Professional Counselor based in Madison, MS and is specialized in Professional. Carroll D. Blackledge practices in Jackson, MS and has the professional credentials of MA,P-LPC. The NPI Number for Carroll D. Blackledge is 1295292274 and holds a License No. P-0512 (Mississippi).

The current practice location address for Carroll D. Blackledge is 4500 I 55 N Ste 208, Jackson, MS and can be reached out via phone at 601-405-7440.

Location: 4500 I 55 N Ste 208, Jackson, MS, 39110-7395
person
Provider Profile Details
NPI Number
1295292274
Provider Name
Carroll D. Blackledge
Credential
MA,P-LPC
Provider Entity Type
Individual
Gender
Male
Address
4500 I 55 N Ste 208, Jackson, MS, 39110-7395
Phone Number
601-405-7440
Fax Number
Provider Enumeration Date
02/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4500 I 55 N Ste 208
City
State
Zip
39211-5931
Phone Number
601-405-7440
Fax Number
person
Provider Business Mailing Address Details
Address
4500 I 55 N Ste 208
City
State
Zip
39211-5931
Phone Number
601-405-7440
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
P-0512 (Mississippi)
Definition
Definition to come...
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