Individual
MR. BLAKE GRIFFIN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSMFT LMFT
Contact information
Practice address
600 ORONDO AVE STE 1, WENATCHEE, WA 98801-2800
(509) 662-6000
Mailing address
640 S MISSION ST, WENATCHEE, WA 98801
(509) 293-8367
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60121736
WA
101Y00000X
Counselor
RC00046002
WA
106H00000X
Marriage & Family Therapist
201619
TX
106H00000X
Marriage & Family Therapist
Primary
LF60173194
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12043
—
WA
Enumeration date
01/26/2010
Last updated
07/16/2020
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