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Individual

BRITTANY BLAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
QMHP, LPC

Contact information

Practice address
813 TWO BROTHERS LN, YORK, SC 29745-8962
(804) 661-8258
Mailing address
813 TWO BROTHERS LN, YORK, SC 29745-8962
(804) 661-8258

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
734010414
VA

Other

Enumeration date
08/13/2024
Last updated
08/13/2024
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