Individual
MR. GREGORY DAVID BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3536 GROVE AVE, RICHMOND, VA 23221-2200
(540) 699-0226
(540) 699-0224
Mailing address
27 JAMES FALLS DR, RICHMOND, VA 23221-3942
(540) 699-0226
(540) 699-0224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701016115
VA
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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