Heather Blackmore MA Lmfta

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1306253067

Heather Blackmore MA Lmfta is an Adolescent and Children Mental Health Clinic/Center in Poulsbo, Washington. Licensed in Washington. Registered with an NPI since 2014.

Licensed in: WA
In the registry since: 2014

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Practice location Address checks out

374 NE Max William Loop
Poulsbo, WA 98370
Phone: (360) 649-1238

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary)	Taxonomy 261QM0855X · Licence MG60354376 (WA)

Record details

NPI number	1306253067
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Heather Blackmore — Owner · (360) 649-1238
NPI enumerated	July 15, 2014
Last updated in NPPES	July 15, 2014
Mailing address	374 Ne Max William Loop, Poulsbo, WA 98370-9169