Individual
BRENDA G BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
975 BETHESDA DR, ZANESVILLE, OH 43701-7500
(740) 452-4539
(740) 452-5702
Mailing address
975 BETHESDA DR, ZANESVILLE, OH 43701-7500
(740) 452-4539
(740) 452-5702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0002604
OH
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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