Charles Rueben Blake III
NPI #1346034360 in Rock Island, Illinois
Provider Information
- NPI Number
- 1346034360
- Entity Type
- Individual
- Name
- Charles Rueben Blake III
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 7, 2025
- Last Updated
- Apr 7, 2025
Practice Location
- Address
- 2200 3RD AVE
- City
- Rock Island
- State
- Illinois
- ZIP Code
- 61201-8840
- Phone
- (309) 206-6701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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