Individual
LAURA BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
318 E MAPLE RIDGE DR, METAIRIE, LA 70001-6112
(504) 220-4567
(888) 315-1866
Mailing address
318 E MAPLE RIDGE DR, METAIRIE, LA 70001-6112
(504) 220-4567
(888) 315-1866
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 5234
LA
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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