Individual
MS. CRISTIE LEAH BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
133 KEYBRIDGE DR STE E, MORRISVILLE, NC 27560-5915
(919) 539-6139
(919) 678-0044
Mailing address
133 KEYBRIDGE DR STE E, MORRISVILLE, NC 27560-5915
(919) 539-6139
(919) 678-0044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3993
NC
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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