Individual provider · Type 1 NPI

Blake Evan Gilbo, M.S., LPC

Mental Health Counselor · Champaign, IL

NPI number 1497016380 Active

Practice location

908 Crescent Dr Apt 1-1
Champaign, IL 61821-4270

Call (217) 974-9091 Map

Fax (217) 974-9091

Mailing address

206 W Marvin Ave
Fredericktown, MO 63645-1648

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2015041412 (MO)
Counselor 101Y00000X178.032745 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1497016380

Blake Evan Gilbo, M.S., LPC's National Provider Identifier is 1497016380, issued on Jun 6, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Champaign, IL. The record was last updated on May 18, 2026.