Individual
BARBARA JEAN BLAKE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
420 N. NEVADA, #138, COLORADO SPRINGS, CO 80903
(719) 471-2500
(719) 471-0741
Mailing address
P.O. BOX 788, COLORADO SPRINGS, CO 80901
(719) 471-2500
(719) 471-0741
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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