Blocksma, Douglas Watson
Blocksma, Douglas Watson is an individual health care provider with primary practice located at 375 E Horsetooth Rd Bldg 3101 , Fort Collins CO 80525-3197. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Blocksma, Douglas Watson can be contacted via phone (970) 310-3406.Contact Information
Primary practice address
375 E Horsetooth Rd Bldg 3101
Fort Collins CO 80525-3197
Phone: (970) 310-3406
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | NLC-13914 | Colorado |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC.0012484 | Colorado |
Profile Details
| NPI number | 1154687465 |
|---|---|
| LBN Legal business name | Blocksma, Douglas Watson |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2012 |
| Last updated | Feb 12th, 2026 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154687465 | NPPES |
| Wyoming | Other | 27-2932236 | EMPLOYEE IDENTIFICATION NUMBER |
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