Willie Larry Blackmon , LCPC, CADC, MA
Counselor - Professional • Hazel Crest, IL
Professional Overview & Biography Verified Profile Summary
Willie Blackmon, LCPC, CADC, MA is a certified Counselor - Professional practicing in Hazel Crest, IL. With approximately 25 years of clinical experience since completing medical education in 2001, Willie Blackmon delivers high-quality medical care to the local community at 17504 E CARRIAGEWAY DR STE B.
Willie Blackmon accepts Medicare assignment.
Practice Location & Contact Primary Location
17504 E Carriageway Dr Ste B
Hazel Crest, IL 604292089
Medicare Profile & Education
Other
2001
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Hazel Crest, IL
Practicing in Hazel Crest, IL (9683 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
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Medical Specialties & State Licenses
NUCC Taxonomy Code: 101YP2500X
Definition to come...
NUCC Taxonomy Code: 101YA0400X
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NUCC Taxonomy Code: 101YM0800X
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Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Professional
Master of Arts
Counselor - Professional
Master of Arts
Social Worker - Clinical
Counselor - Professional
Licensed Clinical Professional Counselor
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 17504 E CARRIAGEWAY DR STE B, HAZEL CREST, IL 604292089 (Tel: 7087990300)
Registered at 5834 S MAPLEWOOD AVE, CHICAGO, IL 606291124 (Tel: 7737784835)
Recorded as WILLIE BLACKMON, LCPC; CADC; MA
Counselor (License #5848 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
5834 S Maplewood Ave
Chicago, IL 606291124
Phone: 7737784835
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