Individual
BLAKE NORDSTROM-WEHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
825 DELAWARE AVE STE 303D, LONGMONT, CO 80501-6169
(720) 203-6446
Mailing address
1558 TERRY ST, LONGMONT, CO 80501-2710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFTC.0014806
CO
Other
Enumeration date
04/10/2025
Last updated
04/14/2025
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