Individual provider · Type 1 NPI

Alan Willard Blake

Counselor · Greenville, SC

NPI number 1134567951 Active

Practice location

124 Mallard St
Greenville, SC 29601-4046

Fax (864) 241-8189

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 1134567951

Alan Willard Blake's National Provider Identifier is 1134567951, issued on Jun 14, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Greenville, SC. The record was last updated on Jun 14, 2013.