Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARROLL D. BLACKLEDGE, MA, P-LPC
Active Sole ProprietorCARROLL D. BLACKLEDGE, MA, P-LPC is a Professional Counselor healthcare provider located in JACKSON, Mississippi. NPI 1295292274 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · JACKSON, MS
Registration Details
- NPI Number
- 1295292274
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2019 (7.4355967645764 yrs)
- Last Updated
- Feb 26, 2019
- License
-
P-0512 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4500 I 55 N STE 208JACKSON, MS, 392115931Browse MS providers · Browse ZIP 39211
- Phone
- 6014057440
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| MS. DEBRA LEE CARR | L.P.C., L.M.F.T. | 1396847885 |
| KARLA RAE SHERMAN | MCP, LPC, NCC | 1962592170 |
| MR. WILLIAM HUGH FURR JR. | LPC, LMFT | 1548347131 |
| MR. DENNIS MORGAN HYDRICK JR. | L.P.C. | 1003982679 |
| BARRY CLINTON CLICK | DOCTOR OF MINISTRY | 1679618276 |
| KAREN S RICHARDSON | LPC | 1386770667 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.