Individual
DOUGLAS WATSON BLOCKSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
375 E HORSETOOTH RD BLDG 3101, FORT COLLINS, CO 80525-3197
(970) 310-3406
Mailing address
375 E HORSETOOTH RD BLDG 3101, FORT COLLINS, CO 80525-3197
(970) 310-3406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
NLC-13914
CO
101YP2500X
Professional Counselor
Primary
LPC-1410
WY
101YP2500X
Professional Counselor
Primary
LPC.0012484
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-2932236
EMPLOYEE IDENTIFICATION NUMBER
WY
Enumeration date
04/11/2012
Last updated
02/12/2026
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