Individual
MS. ELAINE CAROL BLACKMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2465 S DOWNING ST, SUITE 110, DENVER, CO 80210-5822
(303) 778-5774
(303) 778-2436
Mailing address
PO BOX 3133, IDAHO SPRINGS, CO 80452-3133
(303) 778-5774
(303) 778-2436
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1748
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1748
LPC LICENSE
CO
Enumeration date
11/21/2006
Last updated
07/08/2007
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