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Individual

DAVID BLANKENSHIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
419 JERRY ST, CASTLE ROCK, CO 80104-2416
(720) 370-3010
Mailing address
2955 DISTANT ROCK AVE, CASTLE ROCK, CO 80109-3848

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/06/2020
Last updated
04/06/2020
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