Individual provider · Type 1 NPI

Jill Surber Blackwell, LPC

Professional Counselor · Highlands Ranch, CO

NPI number 1750407367 Active

Practice location

9139 Ridgeline Blvd
Highlands Ranch, CO 80129-2333

Mailing address

9139 S Ridgeline Blvd
Highlands Ranch, CO 80129

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1085 (CO)

Professional Counselor: Definition to come...

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About NPI 1750407367

Jill Surber Blackwell, LPC's National Provider Identifier is 1750407367, issued on Mar 22, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Highlands Ranch, CO. The record was last updated on Dec 11, 2012.