Individual provider · Type 1 NPI

Blake Edmond

Mental Health Counselor · Boulder, CO

NPI number 1003288382 Active

Practice location

1333 Iris Ave
Boulder, CO 80304-2226

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003288382

Blake Edmond's National Provider Identifier is 1003288382, issued on Oct 26, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Oct 26, 2015.