Walter B Blake

NPI #1013746031 in Saint Petersburg, Florida

Provider Information

NPI Number
1013746031
Entity Type
Individual
Name
Walter B Blake
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
Jul 29, 2024
Last Updated
Jul 29, 2024

Practice Location

Address
4024 CENTRAL AVE
State
Florida
ZIP Code
33711-1239
Phone
(727) 327-7656

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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