Organization
AUTHENTIC CONNECTIONS THERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALLAREE BLAKE PSYD (PARTNER)
(720) 964-1770
Entity
Organization
Contact information
Practice address
2460 W 26TH AVE STE 450C, DENVER, CO 80211-5315
(720) 386-4046
Mailing address
2460 W 26TH AVE STE 450C, DENVER, CO 80211-5315
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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