Individual provider · Type 1 NPI

Monte Blake, LPC

Mental Health Counselor · Purcell, OK

NPI number 1750522470 Active

Practice location

112 W Main St
Purcell, OK 73080-4220

Fax (405) 527-1084

Mailing address

PO Box 662
Purcell, OK 73080-0662

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3375 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1750522470

Monte Blake, LPC's National Provider Identifier is 1750522470, issued on Mar 9, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Purcell, OK. The record was last updated on Mar 9, 2009.