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

Lance Blake

Individual provider Mental Health Counselor · NPI 1053002451

Lance Blake is a Mental Health Counselor in West Covina, California. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4141 S Nogales St Unit A104
West Covina, CA 91792-3057
Phone: (833) 831-8946
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1053002451
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 17, 2023
Last updated in NPPESMay 17, 2023
Certification dateMay 17, 2023
Mailing address2218 Camarina Dr, Rowland Heights, CA 91748-3709

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