Individual provider · Type 1 NPI

Walter B. Blake

Mental Health Counselor · St. Petersburg, FL

NPI number 1013746031 Active

Practice location

4024 Central Ave
St. Petersburg, FL 33711-1239

Call (727) 327-7656 Map

Mailing address

PO Box 10970
St. Petersburg, FL 33733-0970

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1013746031

Walter B. Blake's National Provider Identifier is 1013746031, issued on Jul 29, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 29, 2024.