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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMONIQUE BLACKMON, M.S., LPCA

Active

DOMONIQUE BLACKMON, M.S., LPCA is a Professional Counselor healthcare provider located in RALEIGH, North Carolina. NPI 1770963597 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · RALEIGH, NC

Registration Details

NPI Number
1770963597
Provider Type
Individual
Gender
Female
NPI Issued
Jun 6, 2015 (11.166555184006 yrs)
Last Updated
Jun 6, 2015
License
A11622 (NC)

Practice Information

Address
1708 TRAWICK RD
SUITE 101
RALEIGH, NC, 276043897
Browse NC providers · Browse ZIP 27604
Phone
9198967536
Fax
9198967537
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in RALEIGH, NC

Name Credential NPI
MISS LORELEI E. LINDOW MA, NCC, LPC 1093790784
MR. ROBERTSON WILLIAMS BUCK JR. L.P.C. 1346226990
DR. ERNEST RUSSELL BRAASCH M.D. 1346220761
DR. DALE SHAWN SHEFFIELD PH.D. 1467410795
MR. HUGH JEROME WILLARD M.ED., LPC 1164470456
MRS. KIMBERLY NELSON BOVEE MA, LPC 1811946957
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.