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

Individual provider Professional Counselor · NPI 1770963597

Domonique Blackmon, MS, LPCA is a Professional Counselor in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1708 Trawick Rd Ste 101
Raleigh, NC 27604-3897
Phone: (919) 896-7536
Fax: (919) 896-7537
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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 A11622 (NC)

Record details

NPI number1770963597
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LPCA
Sole proprietorNo
NPI enumeratedJune 6, 2015
Last updated in NPPESJune 6, 2015

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