Sharon Blake LPC

NPI 1700965761 - Counselor - 101YP2500X

NPI Details
NPI 1700965761
Gender Female
Enumeration Date 11/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
179 PARKSIDE DR
COLORADO SPRINGS CO, 80910-3130, US
Phone (719) 572-6300
Fax (719) 572-6399
Business Location
2720 WOOD AVE
COLORADO SPRINGS CO, 80907-6106, US
Phone (719) 471-3404
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Colorado
License Number 652
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According to our database, Sharon Blake LPC NPI is 1700965761, taxonomy code is 101YP2500X and license number is 652, license state is located at Colorado. Sharon Blake LPC physically located at 179 Parkside Dr, Colorado Springs CO, 80910-3130. NPI Number Sharon Blake LPC has the Individual type.

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1700965761 NPI number is provided on an as is basis without warranty of any kind. 1700965761 is maintained by the National Plan & Provider Enumeration System. The contents of Sharon Blake LPC are for informational purposes only.