Individual provider · Type 1 NPI

Brooke Elizabeth Blazek, LAC

Mental Health Counselor · Mesa, AZ

NPI number 1619656782 Active

Practice location

2509 S Power Rd Ste 110
Mesa, AZ 85209-6696

Mailing address

533 W Guadalupe Rd Unit 2043
Mesa, AZ 85210-7764

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLAC-22166 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1619656782

Brooke Elizabeth Blazek, LAC's National Provider Identifier is 1619656782, issued on Jul 14, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mesa, AZ. The record was last updated on Jul 14, 2023.