Individual
BLAKE WATTERWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
160 N CRAIG ST STE 212, PITTSBURGH, PA 15213-2717
(412) 687-1234
Mailing address
1012 E END AVE, PITTSBURGH, PA 15221-3432
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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