Provider Demographics
NPI:1235909029
Name:BLACKWELL, DAYRON KEITH (LPCC)
Entity Type:Individual
Prefix:MR
First Name:DAYRON
Middle Name:KEITH
Last Name:BLACKWELL
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20019 E 59TH DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80019-2017
Mailing Address - Country:US
Mailing Address - Phone:720-653-9951
Mailing Address - Fax:
Practice Address - Street 1:20019 E 59TH DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80019-2017
Practice Address - Country:US
Practice Address - Phone:720-653-9951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0021380101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health