Individual
BONNIE BLASEWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAT, BS
Contact information
Practice address
8800 FOX DR, THORNTON, CO 80260-6880
(720) 456-1824
Mailing address
8800 FOX DR, THORNTON, CO 80260-6880
(720) 456-1824
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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