Blake, Tina Marie
Blake, Tina Marie is an sole proprietor health care provider with primary practice located at 1024 Centre Ave Bldg E Suite 200, Fort Collins CO 80526-1887. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Blake, Tina Marie can be contacted via phone (970) 224-2080.Contact Information
Primary practice address
1024 Centre Ave Bldg E Suite 200
Fort Collins CO 80526-1887
Phone: (970) 224-2080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 489 | Colorado |
Profile Details
| NPI number | 1760687453 |
|---|---|
| LBN Legal business name | Blake, Tina Marie |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2007 |
| Last updated | Jan 28th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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