Kelly Jayne Blake, NBCC, LPC ASSOCIATE

NPI #1831084110 in Leander, Texas

Provider Information

NPI Number: 1831084110
Entity Type: Individual
Name: Kelly Jayne Blake, NBCC, LPC ASSOCIATE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: NBCC, LPC ASSOCIATE
Enumeration Date: Jun 9, 2025
Last Updated: Jun 9, 2025

Practice Location

Address: 807 RIVERWAY LN
City: Leander
State: Texas
ZIP Code: 78641-7979
Phone: (512) 736-1750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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