Individual provider · Type 1 NPI
Derek J. Blake, MS
Mental Health Counselor · Sarasota, FL
NPI number
1891553012
Active
Practice location
3651 Country Place Blvd
Sarasota, FL 34233-2115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1891553012
Derek J. Blake, MS's National Provider Identifier is 1891553012, issued on Mar 12, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sarasota, FL. The record was last updated on Mar 12, 2024.