Individual
DAVID WAYNE BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA, MC
Contact information
Practice address
600 NEW WAVERLY PL STE 100, CARY, NC 27518-7404
(954) 638-9917
Mailing address
600 NEW WAVERLY PL STE 100, CARY, NC 27518-7404
(954) 638-9917
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NC
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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