Individual
CALLIE ELIZABETH BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4774 PARK GRANADA UNIT 8742, CALABASAS, CA 91372-7037
(310) 853-2489
Mailing address
4819 POE AVE, WOODLAND HILLS, CA 91364-4621
(818) 257-9938
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
145394
CA
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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