Individual
MS. CLARICE BLAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS, I-FPRS
Contact information
Practice address
2105 COMMERCE DR, CAYCE, SC 29033-1524
(803) 796-6179
(803) 807-9881
Mailing address
2105 COMMERCE DR, CAYCE, SC 29033-1524
(803) 796-6179
(803) 807-9881
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
SC
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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