| NPI | 1770352759 |
|---|---|
| Doing Business As | POTENTIAL |
| Entity Type | Organization |
| Authorized Contact | MEGAN NICOLE BLAIR Owner/Licensed Psychologist 970-312-1365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2025-09-25 |