person
Lisa Blackmon, LPC
Professional Counselor in Belton, Texas
NPI 1972867794

Lisa Blackmon is a Professional Counselor based in Belton, TX and is specialized in Professional. Lisa Blackmon practices in Belton, TX and has the professional credentials of LPC. The NPI Number for Lisa Blackmon is 1972867794 and holds a License No. 17230 (Texas).

The current practice location address for Lisa Blackmon is 2170 N Main St Ste D, Belton, TX and can be reached out via phone at 254-773-6787 and via fax at 254-770-0516.

Location: 2170 N Main St Ste D, Belton, TX, 76513-1919
person
Provider Profile Details
NPI Number
1972867794
Provider Name
Lisa Blackmon
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2170 N Main St Ste D, Belton, TX, 76513-1919
Phone Number
254-773-6787
Fax Number
254-770-0516
Provider Enumeration Date
06/26/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17230 01 TX TX LICENSE
institution
Provider Business Practice Location Address Details
Address
2170 N Main St Ste D
City
State
Zip
76513-1919
Phone Number
254-773-6787
Fax Number
254-770-0516
person
Provider Business Mailing Address Details
Address
2170 N Main St Ste D
City
State
Zip
76513-1919
Phone Number
254-773-6787
Fax Number
254-770-0516
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
17230 (Texas)
Definition
Definition to come...
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