Individual provider · Type 1 NPI
Cassondra Blake, MA, LCPC
Professional Counselor · Chicago, IL
NPI number
1609279827
Active
Practice location
134 N. Lasalle Ave
Chicago, IL 60602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.010348 (IL) |
Professional Counselor: Definition to come...
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About NPI 1609279827
Cassondra Blake, MA, LCPC's National Provider Identifier is 1609279827, issued on Oct 1, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Aug 24, 2016.