GENERRA BLAKE
Counselor - Mental Health
Active
Individual
NPI: 1902452782
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | - |
Frequently Asked Questions
NPI 1902452782 is the National Provider Identifier for GENERRA BLAKE, a Counselor - Mental Health provider located in Blanding, UT. This NPI was enumerated on August 16, 2019.
GENERRA BLAKE practices at 735 S 200 W STE 1, Blanding, UT 84511.
Quick Facts
- NPI
- 1902452782
- Type
- Individual
- Enumerated
- Aug 16, 2019
- Last Updated
- Aug 16, 2019
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