Individual
BROOKE ELIZABETH BLAZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2509 S POWER RD STE 110, MESA, AZ 85209-6696
(775) 298-6680
Mailing address
533 W GUADALUPE RD UNIT 2043, MESA, AZ 85210-7764
(917) 494-6675
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-22166
AZ
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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