Individual
MRS. KATHLEEN ELIZABETH BLUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, QMAP
Contact information
Practice address
6655 W JEWELL AVE STE 113, LAKEWOOD, CO 80232-7148
(720) 593-8817
Mailing address
3236 MEADOW VIEW RD, EVERGREEN, CO 80439-9502
(720) 593-8817
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0002086
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09928000
CO
376K00000X
Nurse's Aide
1028
CO
Other
Enumeration date
02/02/2022
Last updated
01/09/2023
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