Jack Blackwell
Jack Blackwell is a Mental Health Counselor in Boulder, Colorado. Practices as a sole proprietor. Licensed in Colorado.
- Licensed in
- CO
- In the registry since
- 2017
Practice location Address checks out
2373 Vineyard PlBoulder, CO 80304-0649
Phone: (720) 275-2756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence NLC0103233 (CO) |
|---|
Record details
| NPI number | 1417473190 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 15, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 2373 Vineyard Pl, Boulder, CO 80304-0649 |
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