MR. Geoffrey Blake

NPI #1730710591 in Daphne, Alabama

Provider Information

NPI Number: 1730710591
Entity Type: Individual
Name: MR. Geoffrey Blake
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Pastoral
Enumeration Date: Jan 30, 2020
Last Updated: Jan 30, 2020

Practice Location

Address: 24682 CHANTILLY LN
City: Daphne
State: Alabama
ZIP Code: 36526-8730
Phone: (251) 591-4740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Pastoral — Pastoral	101YP1600X	Primary

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