Individual provider · Type 1 NPI

Marcy Blake

Professional Counselor · Richardson, TX

NPI number 1245338680 Active

Practice location

2150 Lakeside Blvd, Suite 100
Richardson, TX 75082-4302

Call (972) 437-4698 Map

Fax (972) 690-9309

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X19616 (TX)

Professional Counselor: Definition to come...

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About NPI 1245338680

Marcy Blake's National Provider Identifier is 1245338680, issued on Sep 20, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Richardson, TX. The record was last updated on Aug 19, 2014.