Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carroll D. Blackledge, MA, P-LPC

Individual provider Professional Counselor · NPI 1295292274

Carroll D. Blackledge, MA, P-LPC is a Professional Counselor in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2019
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

See every abbreviation used in this directory →

Practice location Address checks out

4500 I 55 N Ste 208
Jackson, MS 39211-5931
Phone: (601) 405-7440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence P-0512 (MS)

Record details

NPI number1295292274
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , P-LPC
Sole proprietorYes
NPI enumeratedFebruary 26, 2019
Last updated in NPPESFebruary 26, 2019

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