Individual provider · Type 1 NPI

Charlene Blake

Mental Health Counselor · Charlotte, NC

NPI number 1790107274 Active

Practice location

2815 Coliseum Centre Dr, Suite 230
Charlotte, NC 28217-1452

Call (704) 357-7920 Map

Fax (704) 357-7921

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1790107274

Charlene Blake's National Provider Identifier is 1790107274, issued on Jan 17, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Jan 17, 2014.