person
Alexandria Madison Montgomery Blackstone, LPC-IT
Mental Health Counselor in Appleton, Wisconsin
NPI 1922791474

Alexandria Madison Montgomery Blackstone is a Mental Health Counselor based in Neenah, WI and is specialized in Mental Health. Alexandria Madison Montgomery Blackstone practices in Appleton, WI and has the professional credentials of LPC-IT. The NPI Number for Alexandria Madison Montgomery Blackstone is 1922791474 and holds a License No. 7397-226 (Wisconsin).

The current practice location address for Alexandria Madison Montgomery Blackstone is 400 N Richmond St Ste F1, Appleton, WI and can be reached out via phone at 920-722-8150.

Location: 400 N Richmond St Ste F1, Appleton, WI, 54956-6152
person
Provider Profile Details
NPI Number
1922791474
Provider Name
Alexandria Madison Montgomery Blackstone
Credential
LPC-IT
Provider Entity Type
Individual
Gender
Female
Address
400 N Richmond St Ste F1, Appleton, WI, 54956-6152
Phone Number
920-722-8150
Fax Number
Provider Enumeration Date
05/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 N Richmond St Ste F1
City
State
Zip
54911-4654
Phone Number
920-722-8150
Fax Number
person
Provider Business Mailing Address Details
Address
400 N Richmond St Ste F1
City
State
Zip
54911-4654
Phone Number
920-722-8150
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
7397-226 (Wisconsin)
Definition
Definition to come...
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