Kevin Blake, PC
Kevin Blake, PC is a Professional Counselor in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
4400 Euclid AveCleveland, OH 44103-3734
Phone: (216) 432-7200
Fax: (216) 432-7253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence E.1800638 (OH) |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X · Licence C1300277 (OH) |
Record details
| NPI number | 1215394424 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PC |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2016 |
| Last updated in NPPES | March 23, 2020 |
| Certification date | March 23, 2020 |
| Mailing address | 4500 Euclid Ave, Cleveland, OH 44103-3736 |
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