JACOB STEPHEN BLACKSTOCK

GREENSBORO, NC
NPI1740870997
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NC  A13081)
Enumeration Date2021-01-21
Last Update Date2021-01-21
Business Address
JACOB STEPHEN BLACKSTOCK LCMHCA
231 N SPRING ST
GREENSBORO, NC 27401-2231
Phone number: 336-899-8800
Mailing Address
JACOB STEPHEN BLACKSTOCK LCMHCA
3026 STRATFORD DR
GREENSBORO, NC 27408-2625
Phone number:
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