Blake Edmond

NPI #1003288382 in Boulder, Colorado

Provider Information

NPI Number
1003288382
Entity Type
Individual
Name
Blake Edmond
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Oct 26, 2015
Last Updated
Oct 26, 2015

Practice Location

Address
1333 IRIS AVE
ZIP Code
80304-2226
Phone
(303) 443-8500

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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