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

Individual provider Mental Health Counselor · NPI 1780138214

Jacklyn Michele Blake, LCMHC, MBA is a Mental Health Counselor in Cary, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2016
What do these letters mean?
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

600 New Waverly Pl Ste 100
Cary, NC 27518-7404
Phone: (984) 268-6710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 New Waverly Pl Ste 101, Cary, NC 27518-7404 — (984) 689-1714

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 15965 (NC)

Record details

NPI number1780138214
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC , MBA
Sole proprietorYes
NPI enumeratedAugust 13, 2016
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025

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