Individual
AMANDA JOAN BLACOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
691 E EMPIRE ST, CORTEZ, CO 81321-2802
(970) 335-2206
Mailing address
150 MERCURY VILLAGE DR, DURANGO, CO 81301-8955
(970) 335-2348
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0020068
CO
Other
Enumeration date
12/11/2023
Last updated
02/08/2026
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