Individual provider · Type 1 NPI

Timothy Carl Blake

Counselor · Winston Salem, NC

NPI number 1003044066 Active

Practice location

725 Highland Ave
Winston Salem, NC 27101-4206

Call (336) 607-8523 Map

Mailing address

284 Executive Park Dr, Suite 100
Concord, NC 28025-1831

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1003044066

Timothy Carl Blake's National Provider Identifier is 1003044066, issued on Jun 29, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Winston Salem, NC. The record was last updated on Jun 29, 2009.