Female

Heather A. Blackmore LMFTA

Counselor in Port Townsend, WA(View on Map)

Full Name

Heather Anne Blackmore LMFTA

NPI Number

1770140980

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/22/2019

Specialties

(Taxonomies)

Code

101Y00000X
106H00000X

Primary Taxonomy

Yes
No

Licenses

State

Washington
Washington

License Number

MC60354376
MG60354376

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 565
884 W PARK AVE

City

Port Townsend
Port Townsend

State

WA
WA

Postal Code

98368-0565
98368-2273

Country

US
US

Telephone Number

(360) 385-0321
(360) 385-0321

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/04/2021

Provider Address

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