Individual provider · Type 1 NPI

Benjamin K. Blake, MFT, MA

Marriage & Family Therapist · San Marcos, CA

NPI number 1720115942 Active

Practice location

120 Mata Way
San Marcos, CA 92069-2936

Call (760) 510-4737 Map

Mailing address

1732 Mallow Ct
Carlsbad, CA 92011-5122

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFT 28197 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1720115942

Benjamin K. Blake, MFT, MA's National Provider Identifier is 1720115942, issued on Feb 27, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Marcos, CA. The record was last updated on Jul 8, 2007.