Nickole Antionettia Blackman, PCMHT Valid NPI

Individual provider · Mental Health Counselor · Greenwood, MS

NPI

1437944352

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

6188 (MS)

Sex

Female

Sole proprietor

No

Enumerated

2025-04-11

Last updated

2025-04-11