Individual provider · Type 1 NPI
Geoffrey Blake
Pastoral Counselor · Daphne, AL
NPI number
1730710591
Active
Practice location
24682 Chantilly Ln
Daphne, AL 36526-8730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pastoral Counselor Primary | 101YP1600X | 17802 (AL) |
Pastoral Counselor: Definition to come...
About NPI 1730710591
Geoffrey Blake's National Provider Identifier is 1730710591, issued on Jan 30, 2020. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Daphne, AL. The record was last updated on Jan 30, 2020.