Individual
BLAKE LT VALIANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37875 JASPER LOWELL RD, JASPER, OR 97438-9751
(541) 747-1235
(541) 747-4722
Mailing address
1061 VILLARD AVE, COTTAGE GROVE, OR 97424-1647
(702) 748-2565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
02/19/2026
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