| NPI | 1861975187 |
|---|---|
| Professional Name | COLLEEN BLAKELEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 76999) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 76999) |
| 101YM0800X Counselor, Mental Health (Licence: TX 76999) | |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2021-04-12 |