Individual
JENNIFER MICHELLE BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1800 AVENIDA DE MESILLA STE D, LAS CRUCES, NM 88005-3920
(575) 888-7467
(575) 233-6324
Mailing address
PO BOX 13022, LAS CRUCES, NM 88013-3022
(575) 888-7437
(575) 233-6324
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0183431
NM
101YP2500X
Professional Counselor
Primary
0183431
NM
Other
Enumeration date
03/12/2018
Last updated
03/06/2026
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