Individual
CARA L. BLAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC, BC-TMH
Contact information
Practice address
2112 11TH AVE S STE 325, BIRMINGHAM, AL 35205-2845
(205) 876-9076
Mailing address
PO BOX 26331, BIRMINGHAM, AL 35260-0331
(205) 876-9076
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3805
AL
101YM0800X
Mental Health Counselor
3805
AL
101YP2500X
Professional Counselor
Primary
3805
AL
Other
Enumeration date
01/25/2016
Last updated
11/23/2021
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