Individual
BLAKE JORDAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC-A
Contact information
Practice address
6139 GRAND HILL LN, DENVER, NC 28037-9664
(980) 241-8846
Mailing address
6139 GRAND HILL LN, DENVER, NC 28037-9664
(980) 241-8846
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A22774
NC
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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