Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Margaret Blake, MA, LPC, LLP

Individual provider Psychologist · NPI 1386799070

Jacqueline Margaret Blake, MA, LPC, LLP is a Psychologist in Pontiac, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

114 Orchard Lake Rd
Pontiac, MI 48341-2244
Phone: (248) 858-7766
Fax: (248) 858-7201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6301009441 (MI)

Record details

NPI number1386799070
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC , LLP
Sole proprietorNo
NPI enumeratedJanuary 24, 2007
Last updated in NPPESJuly 8, 2007

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