Individual
BLAKE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2141 OFFICE PARK DR STE 3, SAN ANGELO, TX 76904-6836
(325) 223-2347
Mailing address
2141 OFFICE PARK DR STE 3, SAN ANGELO, TX 76904-6836
(325) 223-2347
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
77299
TX
Other
Enumeration date
06/20/2021
Last updated
06/20/2021
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