Individual
BLAISE CHANSE CAMPANELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFTC
Contact information
Practice address
2629 W MAIN ST STE 170, LITTLETON, CO 80120-4612
(303) 501-9436
Mailing address
2629 W MAIN ST STE 170, LITTLETON, CO 80120-4612
(303) 501-9436
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT.0002382
CO
Other
Enumeration date
10/14/2021
Last updated
10/17/2024
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