Individual
MRS. LAURA MICHELE BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4607 MACCORKLE AVE SW, SUITE 305, CHARLESTON, WV 25309-1364
(304) 767-7820
(304) 767-7829
Mailing address
4607 MACCORKLE AVE SW, SUITE 305, CHARLESTON, WV 25309-1364
(304) 767-7820
(304) 767-7829
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1590
WV
Other
Enumeration date
06/09/2006
Last updated
08/06/2007
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