Individual
PATRICIA A BLAKESLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
430 BRADDOCK AVE, PRESBYTERIAN COUNSELING CENTER, DAYTONA BEACH, FL 32118-4616
(386) 258-1616
(386) 253-4215
Mailing address
217 LINCOLN AVE, NEW SMYRNA BEACH, FL 32169-2535
(386) 562-2675
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1102
FL
Other
Enumeration date
06/11/2006
Last updated
07/08/2007
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