Individual provider · Type 1 NPI
Blakely Sjostedt Williams, LCSW
Mental Health Counselor · Fort Collins, CO
NPI number
1144845298
Active
Practice location
4119 Tanager St
Fort Collins, CO 80526-3687
Other practice locations
- 320 W Olive St, Fort Collins, CO 80521-2716 · (970) 308-9733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | LSW.0009922792 (CO) |
| Mental Health Counselor Primary | 101YM0800X | CSW.0009922792 (CO) |
Mental Health Counselor: Definition to come...
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About NPI 1144845298
Blakely Sjostedt Williams, LCSW's National Provider Identifier is 1144845298, issued on Jun 15, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Collins, CO. The record was last updated on Mar 30, 2022.