Individual provider · Type 1 NPI

Tina Blakely, LPC

Professional Counselor · Englewood, CO

NPI number 1104907476 Active

About NPI 1104907476

Tina Blakely, LPC's National Provider Identifier is 1104907476, issued on Oct 17, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Englewood, CO. The record was last updated on Jul 8, 2007.