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Walisha M. Blackmore, MED,LPC-S
Professional Counselor in Port Neches, Texas
NPI 1992853063

Walisha M. Blackmore is a Professional Counselor based in Port Arthur, TX and is specialized in Professional. Walisha M. Blackmore practices in Port Neches, TX and has the professional credentials of MED,LPC-S. The NPI Number for Walisha M. Blackmore is 1992853063 and holds a License No. 15296 (Texas).

The current practice location address for Walisha M. Blackmore is 2512 Nall St, Port Neches, TX and can be reached out via phone at 409-727-5785 and via fax at 409-729-0465.

Location: 2512 Nall St, Port Neches, TX, 77640
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Provider Profile Details
NPI Number
1992853063
Provider Name
Walisha M. Blackmore
Credential
MED,LPC-S
Provider Entity Type
Individual
Gender
Female
Address
2512 Nall St, Port Neches, TX, 77640
Phone Number
409-727-5785
Fax Number
409-729-0465
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0283715-03 05 TX
institution
Provider Business Practice Location Address Details
Address
2512 Nall St
City
State
Zip
77651-4706
Phone Number
409-727-5785
Fax Number
409-729-0465
person
Provider Business Mailing Address Details
Address
2512 Nall St
City
State
Zip
77651-4706
Phone Number
409-727-5785
Fax Number
409-729-0465
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
15296 (Texas)
Definition
Definition to come...
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