Individual
BRENDA BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1600 W MAIN ST, LEBANON, IN 46052-2388
(317) 574-1254
(317) 565-4631
Mailing address
9615 E 148TH ST STE 1, NOBLESVILLE, IN 46060-4371
(317) 574-1254
(317) 674-0060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002595A
IN
Other
Enumeration date
04/14/2014
Last updated
04/20/2026
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