Individual
MICHELLE M BLAKELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT-INTERN, CPC-INTE
Contact information
Practice address
311 S WATER ST, HENDERSON, NV 89015-7310
(702) 907-8306
(702) 907-8306
Mailing address
59 ASHBY HILLS CT, HENDERSON, NV 89012-4451
(702) 907-8306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CI0230
NV
106H00000X
Marriage & Family Therapist
Primary
MI0737
NV
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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