Domonique Blackmon, M.S., LPCA

NPI 1770963597 · on the registry since 2015

Practice

Address: 1708 Trawick Rd
Suite 101
Raleigh, NC 27604
Phone: (919) 896-7536
Fax: (919) 896-7537
Organisation at this address: Best Choices Supply Llc
Best Choices Supply Llc
Rns Within Reach Teaching Services
Graceland Medical Supplies & Healthcare Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: NC
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina