Individual provider · Type 1 NPI

Generra Blake

Mental Health Counselor · Blanding, UT

NPI number 1902452782 Active

About NPI 1902452782

Generra Blake's National Provider Identifier is 1902452782, issued on Aug 16, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Blanding, UT. The record was last updated on Aug 16, 2019.