Individual
MR. BLAKE GREGORY FREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
4400 NE 77TH AVE STE 275, VANCOUVER, WA 98662-6857
(360) 685-1597
(360) 249-9906
Mailing address
4400 NE 77TH AVE STE 275, VANCOUVER, WA 98662-6857
(360) 685-1597
(360) 249-9906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60742923
WA
Other
Enumeration date
01/12/2016
Last updated
06/07/2023
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