Blackmon, Gerald
Blackmon, Gerald is an individual health care provider with primary practice located at 908 N 3Rd St , Monroe LA 71201-5844. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Blackmon, Gerald can be contacted via phone (318) 547-2312.Contact Information
Primary practice address
908 N 3Rd St
Monroe LA 71201-5844
Phone: (318) 547-2312
Fax: (318) 325-8749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1760854327 |
|---|---|
| LBN Legal business name | Blackmon, Gerald |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2015 |
| Last updated | Oct 22nd, 2015 - about 11 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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