Individual provider · Type 1 NPI

Marina Blake, LPC

Professional Counselor · Lakewood, CO

NPI number 1861625352 Active

Practice location

950 Wadsworth Blvd, #200
Lakewood, CO 80214-4591

Fax (303) 233-7898

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4953 (CO)

Professional Counselor: Definition to come...

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About NPI 1861625352

Marina Blake, LPC's National Provider Identifier is 1861625352, issued on Aug 31, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lakewood, CO. The record was last updated on Aug 31, 2009.