| Douglas Blocksma, MA | |
|
719 E 17th St, Cheyenne, WY 82001-4711 | |
| (307) 509-0772 | |
| (307) 426-4133 |
| Full Name | Douglas Blocksma |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 719 E 17th St, Cheyenne, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154687465 | NPI | - | NPPES |
| 27-2932236 | Other | WY | EMPLOYEE IDENTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | NLC-13914 (Colorado) | Secondary |
| 101YP2500X | Counselor - Professional | LPC-1410 (Wyoming) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Blocksma, MA 719 E 17th St, Cheyenne, WY 82001-4711 Ph: (307) 509-0772 | Douglas Blocksma, MA 719 E 17th St, Cheyenne, WY 82001-4711 Ph: (307) 509-0772 |
Maelee Ann Havens, LPC-1917 Counselor Medicare: Medicare Enrolled Practice Location: 2600 E 18th St, Cheyenne, WY 82001 Phone: 307-633-7370 | |
Alexander James Barrera, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6900 Alden Dr Bldg 160, Cheyenne, WY 82005 Phone: 307-773-2998 | |
Ms. Aurelia Neuda, MS LPC LAT Counselor Medicare: Medicare Enrolled Practice Location: 2526 Seymour Ave, Cheyenne, WY 82001 Phone: 307-634-9653 Fax: 307-638-8256 | |
Shaundra K Drysdale, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4025 Rawlins St, Cheyenne, WY 82001 Phone: 307-426-4797 | |
Linnaea Despain Sutphin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 E 17th St Ste 210, Cheyenne, WY 82001 Phone: 307-996-7964 | |
Dr. David Harold Birney, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 W 29th St, Cheyenne, WY 82001 Phone: 307-426-4724 | |
Becky Marie Lauridsen, PPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4025 Rawlins St, Cheyenne, WY 82001 Phone: 307-426-4798 Fax: 307-426-4799 |