Individual
MS. CATHALEEN LYNN BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
2700 S ROAN ST STE 203, JOHNSON CITY, TN 37601-7557
(423) 086-9827
Mailing address
2700 S ROAN ST STE 203, JOHNSON CITY, TN 37601-7557
(423) 708-6982
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/01/2013
Last updated
05/22/2019
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