Organization
COFFEE TALK THERAPY HEALTH AND WELLNESS INC
Active
Other names
Coffee Talk Therapy, PLLC, Blake Counseling and Coaching, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JACKLYN MICHELE BLAKE LCMHC MBA (EXECUTIVE DIRECTOR)
(919) 889-4448
Entity
Organization
Contact information
Practice address
600 NEW WAVERLY PL STE 100, CARY, NC 27518-7404
(984) 689-1714
Mailing address
600 NEW WAVERLY PL STE 100, CARY, NC 27518-7404
(919) 889-4448
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
03/04/2025
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