Individual
MS. ANIKO BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5100 N RAVENSWOOD AVE STE 208, CHICAGO, IL 60640-1710
(773) 885-8188
Mailing address
5100 N RAVENSWOOD AVE STE 208, CHICAGO, IL 60640-1710
(773) 242-7276
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001374
IL
Other
Enumeration date
08/09/2017
Last updated
02/06/2021
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