Individual provider · Type 1 NPI

Blake LT Valiant

Mental Health Counselor · Jasper, OR

NPI number 1265144471 Active

Practice location

37875 Jasper Lowell Rd
Jasper, OR 97438-9751

Fax (541) 747-4722

Mailing address

1061 Villard Ave
Cottage Grove, OR 97424-1647

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1265144471

Blake LT Valiant's National Provider Identifier is 1265144471, issued on Dec 19, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jasper, OR. The record was last updated on Feb 19, 2026.