Gerald Blackmon
Gerald Blackmon is a Counselor in Monroe, Louisiana. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
908 N 3rd StMonroe, LA 71201-5844
Phone: (318) 547-2312
Fax: (318) 325-8749
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1760854327 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 22, 2015 |
| Last updated in NPPES | October 22, 2015 |
| Mailing address | 908 N 3rd St, Monroe, LA 71201-5844 |
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