Individual provider · Type 1 NPI
Susan Rhodes Blake, MA, LPC
Mental Health Counselor · San Antonio, TX
NPI number
1831295419
Active
Practice location
4067 Broadway St
San Antonio, TX 78209-6313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 18406 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1831295419
Susan Rhodes Blake, MA, LPC's National Provider Identifier is 1831295419, issued on Sep 15, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Antonio, TX. The record was last updated on Jul 8, 2007.