DEIDRE LYNETTE LACEY BLACKWELL Professional Counselor License verification

Business Entity

ACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180012514

License Status

ACTIVE

Business

First Name

DEIDRE

Middle

LYNETTE

Last Name

LACEY BLACKWELL

Business Name

DEIDRE LYNETTE LACEY BLACKWELL

Original Issue Date

10/09/2019

Effective Date

03/13/2025

Expiration Date

03/31/2027

City

MERRILLVILLE

State

Zip

46410

Ever Disciplined

LastModifiedDate

03/13/2025