Individual
MRS. CRYSTAL S BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
3413 ROSEDALE RD, CLEVELAND HEIGHTS, OH 44112-3010
(216) 533-8846
Mailing address
3413 ROSEDALE RD, CLEVELAND HEIGHTS, OH 44112-3010
(216) 533-8846
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.0501154
OH
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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