DR. Robert Philp Blake, LPC #C3517

NPI #1174978191 in Brookings, Oregon

Provider Information

NPI Number
1174978191
Entity Type
Individual
Name
DR. Robert Philp Blake, LPC #C3517
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC #C3517
Enumeration Date
Apr 27, 2016
Last Updated
Apr 27, 2016

Practice Location

Address
603 HEMLOCK ST
Address 2
SUITE 2B
State
Oregon
ZIP Code
97415
Phone
(707) 218-1758

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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