Individual
BLAKE VICTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 NEW SALEM RD STE 116, UNIONTOWN, PA 15401-8936
(724) 437-0729
Mailing address
100 NEW SALEM RD STE 116, UNIONTOWN, PA 15401-8936
(172) 443-7072
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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