Individual provider · Type 1 NPI
Elizabeth Blake
Professional Counselor · Omaha, NE
NPI number
1619329943
Active
Practice location
3412 S 49th Ave
Omaha, NE 68106-4010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 10891 (NE) |
Professional Counselor: Definition to come...
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About NPI 1619329943
Elizabeth Blake's National Provider Identifier is 1619329943, issued on Jul 11, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Omaha, NE. The record was last updated on Jul 11, 2016.