Douglas Blocksma, MA

NPI #1154687465 in Cheyenne, Wyoming

Provider Information

NPI Number: 1154687465
Entity Type: Individual
Name: Douglas Blocksma, MA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: MA
Enumeration Date: Apr 11, 2012
Last Updated: Apr 7, 2015

Practice Location

Address: 719 E 17TH ST
City: Cheyenne
State: Wyoming
ZIP Code: 82001-4711
Phone: (307) 509-0772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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