SearchNorth Carolina101YM0800X

Jill Blackwelder, LPCS, CCS, LCAS, NCC

NPI 1902954027 · on the registry since 2007

Practice

Address
536 Signal Hill Drive Extension
Statesville, NC 28625
Phone
(704) 872-0234
Fax
(704) 818-1115

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-07-17

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