Individual
DOUGLAS WATSON BLOCKSMA
Active
Individual
DOUGLAS WATSON BLOCKSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
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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