CARROLL D. BLACKLEDGE

JACKSON, MS
NPI1295292274
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: MS  P-0512)
Enumeration Date2019-02-26
Last Update Date2019-02-26
Business Address
CARROLL D. BLACKLEDGE MA, P-LPC
4500 I 55 N STE 208
JACKSON, MS 39211-5931
Phone number: 601-405-7440
Mailing Address
CARROLL D. BLACKLEDGE MA, P-LPC
107 LAUREL GLEN CT
MADISON, MS 39110-7395
Phone number: 601-622-7277
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