Individual provider · Type 1 NPI
Coral Lynn Blake, MSCP
Mental Health Counselor · Dade City, FL
NPI number
1184197154
Active
Practice location
35054 Whispering Oaks Blvd
Dade City, FL 33523-9415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1184197154
Coral Lynn Blake, MSCP's National Provider Identifier is 1184197154, issued on Jan 2, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dade City, FL. The record was last updated on Jan 2, 2019.