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
- City
- Saint Petersburg
- State
- Florida
- ZIP Code
- 33711-1239
- Phone
- (727) 327-7656
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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