Individual provider · Type 1 NPI

Kathleen Blake

Mental Health Counselor · Omaha, NE

NPI number 1407401185 Active

Practice location

13322 I St
Omaha, NE 68137-1111

Call (402) 230-5861 Map

Fax (531) 200-5808

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Mental Health Counselor Primary 101YM0800X3113 (NE)

Mental Health Counselor: Definition to come...

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About NPI 1407401185

Kathleen Blake's National Provider Identifier is 1407401185, issued on Aug 8, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Omaha, NE. The record was last updated on Sep 29, 2022.