Individual
BLAIR N NYLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
490 W COLFAX AVE, DENVER, CO 80204-2607
(720) 337-0200
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY.000659
CO
Other
Enumeration date
05/13/2014
Last updated
03/17/2018
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