MISS Andra Coniece Blake, MFTI

NPI #1295803328 in Commerce, California

Provider Information

NPI Number: 1295803328
Entity Type: Individual
Name: MISS Andra Coniece Blake, MFTI
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: MFTI
Enumeration Date: Nov 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1500 S MCDONNELL AVE
City: Commerce
State: California
ZIP Code: 90040-5623
Phone: (323) 981-4322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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