Blackwelder, Jill

Blackwelder, Jill is an individual health care provider with primary practice located at 536 Signal Hill Drive Extension , Statesville NC 28625. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Blackwelder, Jill can be contacted via phone (704) 872-0234.

Contact Information

Primary practice address
536 Signal Hill Drive Extension Statesville NC 28625
Phone: (704) 872-0234
Fax: (704) 818-1115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2135 North Carolina

Profile Details

NPI number 1902954027
LBN Legal business name Blackwelder, Jill
Credentials LPCS, CCS, LCAS, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 17th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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