Individual provider · Type 1 NPI

Brenda Rebecca Blake

Mental Health Counselor · Salem, OR

NPI number 1285243436 Active

Practice location

3876 Beverly Ave NE Bldg G
Salem, OR 97305-1319

Call (503) 763-5734 Map

Mailing address

3867 Wolverine St NE Bldg F
Salem, OR 97305-4266

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1285243436

Brenda Rebecca Blake's National Provider Identifier is 1285243436, issued on Jul 23, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Jun 23, 2022.