Individual provider · Type 1 NPI

Jacklyn Michele Blake, LCMHC, MBA

Mental Health Counselor · Cary, NC

NPI number 1780138214 Active

Practice location

600 New Waverly Pl Ste 100
Cary, NC 27518-7404

Call (984) 268-6710 Map

Other practice locations

  • 600 New Waverly Pl Ste 101, Cary, NC 27518-7404 · (984) 689-1714

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X15965 (NC)

Mental Health Counselor: Definition to come...

6 other providers at this address

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About NPI 1780138214

Jacklyn Michele Blake, LCMHC, MBA's National Provider Identifier is 1780138214, issued on Aug 13, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cary, NC. The record was last updated on Mar 4, 2025.