Individual
MS. C. BLAIR SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
700 BURBANK ST, BROOMFIELD, CO 80020-1658
(720) 980-4034
Mailing address
700 BURBANK ST, BROOMFIELD, CO 80020-1658
(720) 980-4034
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
655
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16635076
CAQH IDENTIFICATION
CO
Enumeration date
05/17/2007
Last updated
07/08/2007
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