Individual
BLAYNE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 S SYCAMORE ST, LITTLETON, CO 80120-8201
(303) 347-6413
Mailing address
1415 COLUMBINE ST, DENVER, CO 80206-2210
(612) 328-4385
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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