Jeffrey Blum is a Counselor based in Boulder, CO. Jeffrey Blum practices in Boulder, CO. The NPI Number for Jeffrey Blum is 1558129841 and holds a License No. LPCC.0021085 (Colorado).
The current practice location address for Jeffrey Blum is 6200 Habitat Dr Apt 3046, Boulder, CO and can be reached out via phone at 720-310-8184.
Location: 6200 Habitat Dr Apt 3046, Boulder, CO, 80301-3237
Provider Profile Details
NPI Number
1558129841
Provider Name
Jeffrey Blum
Credential
Provider Entity Type
Individual
Gender
Male
Address
6200 Habitat Dr Apt 3046, Boulder, CO, 80301-3237
Phone Number
720-310-8184
Fax Number
Provider Enumeration Date
03/11/2024
Last Update Date
04/14/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPCC.0021085 | 01 | CO | DORA |
Provider Business Practice Location Address Details
Address
6200 Habitat Dr Apt 3046
City
State
Zip
80301-3237
Phone Number
720-310-8184
Fax Number
Provider Business Mailing Address Details
Address
6200 Habitat Dr Apt 3046
City
State
Zip
80301-3237
Phone Number
720-310-8184
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
LPCC.0021085 (Colorado)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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