Individual
MRS. KATHERINE BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LGPC, NCC
Contact information
Practice address
237 W PATRICK ST, FREDERICK, MD 21701-6934
(301) 471-9581
Mailing address
20002 LAKE PARK DR, GERMANTOWN, MD 20874-1000
(717) 817-0506
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP14036
MD
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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