License holder summary

Jack David Blackwell is a Registered Psychotherapy - Registered Psychotherapist licensed to practice in Colorado. The address on file for Jack David Blackwell is 2373 Vineyard Pl, Boulder, CO, 80304-0649. This licensed professional license is current. The license was granted 08/28/2012 and expired on 08/31/2015.

Colorado

Division of Professions and Occupations

Jack David Blackwell
Registered Psychotherapy - Registered Psychotherapist
License number
103233
Date granted
08/28/2012
Date expires
08/31/2015
Class
Registered Psychotherapy - Registered Psychotherapist
Status
Active
Address
2373 Vineyard Pl, Boulder, CO, 80304-0649
coloradolicensing.org
ID 28964024
LAST UPDATED 2024-03-23 21:25:59 UTC

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