Michael Blake, B.S.

NPI #1013217231 in Knoxville, Tennessee

Provider Information

NPI Number: 1013217231
Entity Type: Individual
Name: Michael Blake, B.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: B.S.
Enumeration Date: Oct 22, 2010
Last Updated: Oct 22, 2010

Practice Location

Address: 201 W SPRINGDALE AVE
City: Knoxville
State: Tennessee
ZIP Code: 37917-5158
Phone: (865) 637-9711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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