Individual provider · Type 1 NPI

Sonny James Blake, LMHC

Mental Health Counselor · Clearwater, FL

NPI number 1194044651 Active

Practice location

14041 Icot Blvd
Clearwater, FL 33760-3702

Fax (727) 749-1248

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH 10074 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1194044651

Sonny James Blake, LMHC's National Provider Identifier is 1194044651, issued on May 24, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clearwater, FL. The record was last updated on May 24, 2010.