Organization
MARGUERITA BLAKER & ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGUERITA SITRIN BLAKER MA (OWNER)
(704) 488-4127
Entity
Organization
Contact information
Practice address
2400 CROWNPOINT EXECUTIVE DR STE 100, CHARLOTTE, NC 28227-6726
(827) 680-0466
(910) 782-2026
Mailing address
2400 CROWNPOINT EXECUTIVE DR STE 100, CHARLOTTE, NC 28227-6726
(828) 680-0466
(910) 782-2026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467847426
—
NC
Enumeration date
04/05/2022
Last updated
05/17/2022
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