person
Jack Blackwell
Mental Health Counselor in Boulder, Colorado
NPI 1417473190

Jack Blackwell is a Mental Health Counselor based in Boulder, CO and is specialized in Mental Health. Jack Blackwell practices in Boulder, CO. The NPI Number for Jack Blackwell is 1417473190 and holds a License No. NLC0103233 (Colorado).

The current practice location address for Jack Blackwell is 2373 Vineyard Pl, Boulder, CO and can be reached out via phone at 720-275-2756.

Location: 2373 Vineyard Pl, Boulder, CO, 80304-0649
person
Provider Profile Details
NPI Number
1417473190
Provider Name
Jack Blackwell
Credential
Provider Entity Type
Individual
Gender
Male
Address
2373 Vineyard Pl, Boulder, CO, 80304-0649
Phone Number
720-275-2756
Fax Number
Provider Enumeration Date
08/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2373 Vineyard Pl
City
State
Zip
80304-0649
Phone Number
720-275-2756
Fax Number
person
Provider Business Mailing Address Details
Address
2373 Vineyard Pl
City
State
Zip
80304-0649
Phone Number
720-275-2756
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
NLC0103233 (Colorado)
Definition
Definition to come...
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