Kecia Blakely, Msp, Lmhc
NPI #1598446395 in South Bend, Indiana
Provider Information
- NPI Number
- 1598446395
- Entity Type
- Organization
- Organization Name
- Kecia Blakely, Msp, Lmhc
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jul 26, 2023
- Last Updated
- Sep 3, 2024
Practice Location
- Address
- 52189 SCOTT ST
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46637
- Phone
- (574) 208-3359
Authorized Official
- Name
- KECIA MARIE BLAKELY, LMHC
- Title
- OWNER
- Phone
- (574) 800-9681
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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