MR. WILLIE BLACKMON, LCPC; CADC; MA
Counselor - Professional
Active
Individual
NPI: 1477762052
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | 5848 (IL) |
| Counselor - Mental Health | 101YM0800X | No | 178-002766 (IL) |
| Counselor - Professional | 101YP2500X | Yes | 180.007189 (IL) |
Frequently Asked Questions
NPI 1477762052 is the National Provider Identifier for MR. WILLIE BLACKMON, LCPC; CADC; MA, a Counselor - Professional provider located in Hazel Crest, IL. This NPI was enumerated on May 21, 2007.
MR. WILLIE BLACKMON, LCPC; CADC; MA practices at 17504 E CARRIAGEWAY DR STE B, Hazel Crest, IL 60429.
Quick Facts
- NPI
- 1477762052
- Type
- Individual
- Enumerated
- May 21, 2007
- Last Updated
- Apr 23, 2009
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