Individual
MR. BLAKE MITCHELL GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2611 WOODLAWN RD, STERLING, IL 61081-4151
(815) 625-0013
Mailing address
2624 9TH AVE S, FARGO, ND 58103-2350
(701) 298-4500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
599
ND
Other
Enumeration date
08/14/2013
Last updated
10/14/2020
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