Individual
MR. BLAKE WORKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LPCC, LCPC
Contact information
Practice address
7026 CORPORATE WAY, STE 116, CENTERVILLE, OH 45459-4288
(937) 554-9569
Mailing address
7026 CORPORATE WAY, STE 116, CENTERVILLE, OH 45459-4288
(937) 554-9569
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0900092
OH
101YP2500X
Professional Counselor
LC4235
MD
Other
Enumeration date
11/15/2011
Last updated
06/25/2013
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