Edward Blake
Edward Blake is a Counselor in Petaluma, California. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
365 Kuck LnPetaluma, CA 94952-9606
Phone: (707) 795-6954
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1124435227 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 21, 2014 |
| Last updated in NPPES | July 21, 2014 |
| Mailing address | 365 Kuck Ln, Petaluma, CA 94952-9606 |
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