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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TINA MARIE BLAKE, LMFT

Active Sole Proprietor

TINA MARIE BLAKE, LMFT is a Marriage & Family Therapist healthcare provider located in FORT COLLINS, Colorado. NPI 1760687453 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · FORT COLLINS, CO

Registration Details

NPI Number
1760687453
Provider Type
Individual
Gender
Female
NPI Issued
Jun 20, 2007 (19.11992526956 yrs)
Last Updated
Jan 28, 2013
License
489 (CO)
Sole Proprietor
Yes

Practice Information

Address
1024 CENTRE AVE BLDG E
SUITE 200
FORT COLLINS, CO, 805261887
Browse CO providers · Browse ZIP 80526
Phone
9702242080
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in FORT COLLINS, CO

Name Credential NPI
MARY ELIZABETH FREEMAN M.S. 1982692992
MR. MICHAEL P GIGLIO SAP, LMFT 1659341931
DR. GARY J STRICKLIN PHD 1033188974
MR. WAYNE LEWIS CARPENTER MA, PSYCH 1619936788
MS. MARILYN CATHERINE MACINTYRE LMFT 1952362410
PAUL WILSON SLAUGHTER LMFT 1265450241
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.