Individual
MACKENZIE BLAKE HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, MA, LPA
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
704 PITZER ST, BARBOURVILLE, KY 40906-1032
(606) 546-3104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
03/09/2025
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