Jamond Blake
Jamond Blake is a Mental Health Counselor in Conway, South Carolina. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
164 Waccamaw Medical Park DrConway, SC 29526-8903
Phone: (843) 347-5060
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1689241028 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 4, 2021 |
| Last updated in NPPES | June 4, 2021 |
| Certification date | June 4, 2021 |
| Mailing address | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 |
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