Tina Blakely, LPC

NPI #1104907476 in Englewood, Colorado

Provider Information

NPI Number
1104907476
Entity Type
Individual
Name
Tina Blakely, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Oct 17, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
6059 S QUEBEC ST STE 203
ZIP Code
80111-4523
Phone
(303) 741-3005

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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