Individual provider · Type 1 NPI
Carl C. Blake, LPC
Mental Health Counselor · Larkspur, CO
NPI number
1811018138
Active
Practice location
12163 South Perry Park Road
Larkspur, CO 80118
Fax (303) 681-2401
Mailing address
14142 Denver West Pkwy, Suite 225
Lakewood, CO 80401-3189
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC 4701 (CO) |
Mental Health Counselor: Definition to come...
2 other providers at this address
About NPI 1811018138
Carl C. Blake, LPC's National Provider Identifier is 1811018138, issued on Apr 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Larkspur, CO. The record was last updated on Jul 9, 2007.