Shirley D. Blakeley, MA, LPC

NPI #1134296650 in Douglas, Wyoming

Provider Information

NPI Number: 1134296650
Entity Type: Individual
Name: Shirley D. Blakeley, MA, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: MA, LPC
Enumeration Date: Nov 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1841 MADORA AVE
City: Douglas
State: Wyoming
ZIP Code: 82633-3057
Phone: (307) 358-2846

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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