Individual
CHRISTAL G BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 W KING ST, YAKIMA, WA 98902-6047
(509) 307-8302
Mailing address
206 W KING ST, YAKIMA, WA 98902-6047
(509) 307-8302
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60144840
WA
101Y00000X
Counselor
RC60101070
WA
Other
Enumeration date
06/12/2009
Last updated
11/15/2011
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