MR. Blake Mitchell Gilbert

NPI #1578996567 in Sterling, Illinois

Provider Information

NPI Number: 1578996567
Entity Type: Individual
Name: MR. Blake Mitchell Gilbert
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Enumeration Date: Aug 14, 2013
Last Updated: Oct 14, 2020

Practice Location

Address: 2611 WOODLAWN RD
City: Sterling
State: Illinois
ZIP Code: 61081-4151
Phone: (815) 625-0013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

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