Carl C Blake, LPC

NPI #1811018138 in Larkspur, Colorado

Provider Information

NPI Number
1811018138
Entity Type
Individual
Name
Carl C Blake, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LPC
Enumeration Date
Apr 3, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
12163 SOUTH PERRY PARK ROAD
ZIP Code
80118
Phone
(303) 681-2400

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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