Individual provider · Type 1 NPI

Charles Rueben Blake Iii

Mental Health Counselor · Rock Island, IL

NPI number 1346034360 Active

Practice location

2200 3rd Ave
Rock Island, IL 61201-8840

Mailing address

2917 36th St
Rock Island, IL 61201-5646

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1346034360

Charles Rueben Blake Iii's National Provider Identifier is 1346034360, issued on Apr 7, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rock Island, IL. The record was last updated on Apr 7, 2025.