Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Rueben Blake III

Individual provider Mental Health Counselor · NPI 1346034360

Charles Rueben Blake III is a Mental Health Counselor in Rock Island, Illinois. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2200 3rd Ave
Rock Island, IL 61201-8840
Phone: (309) 206-6701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1346034360
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2025
Last updated in NPPESApril 7, 2025
Certification dateApril 6, 2025
Mailing address2917 36th St, Rock Island, IL 61201-5646

Other providers in Rock Island