Individual provider · Type 1 NPI

Jamond Blake

Mental Health Counselor · Conway, SC

NPI number 1689241028 Active

Practice location

164 Waccamaw Medical Park Dr
Conway, SC 29526-8903

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1689241028

Jamond Blake's National Provider Identifier is 1689241028, issued on Jun 4, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Conway, SC. The record was last updated on Jun 4, 2021.