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NPI Code Detail

MEDICARE: MR. DAYRON K BLACKWELL LPC

MEDICARE: MR. DAYRON K BLACKWELL LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC.0023134CO

General Provider Information

NPI Number : 1235909029
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAYRON K BLACKWELL LPC
Provider Business Mailing Address
First Line : 3401 QUEBEC ST STE 7600
Second Line :
City : DENVER
State : CO
Zip : 80207-2345
Country : US
Telephone Number : 970-310-3406
Fax Number :
Provider Business Practice Location Address
First Line : 3401 QUEBEC ST STE 7600
Second Line :
City : DENVER
State : CO
Zip : 80207-2345
Country : US
Telephone Number : 970-310-3406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2024
Last Update Date : 01/06/2026

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