Mistey Lynn Blake, MA TLLP CADC-M
NPI #1821330499 in Canton, Michigan
Provider Information
- NPI Number
- 1821330499
- Entity Type
- Individual
- Name
- Mistey Lynn Blake, MA TLLP CADC-M
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- MA TLLP CADC-M
- Enumeration Date
- Mar 21, 2013
- Last Updated
- Mar 21, 2013
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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