MS. Dorene G Blake, MA MFT
NPI #1225191745 in Capitola, California
Provider Information
- NPI Number
- 1225191745
- Entity Type
- Individual
- Name
- MS. Dorene G Blake, MA MFT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Credential
- MA MFT
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 820 BAY AVENUE
- Address 2
- SUITE 132
- City
- Capitola
- State
- California
- ZIP Code
- 95010
- Phone
- (831) 475-1615
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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