Individual provider · Type 1 NPI
Crystal S. Blake, PC
Mental Health Counselor · Cleveland Heights, OH
NPI number
1679896724
Active
Practice location
3413 Rosedale Rd
Cleveland Heights, OH 44112-3010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | C.0501154 (OH) |
Mental Health Counselor: Definition to come...
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About NPI 1679896724
Crystal S. Blake, PC's National Provider Identifier is 1679896724, issued on Mar 3, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cleveland Heights, OH. The record was last updated on Mar 3, 2010.