Mr. Derek Michael Blake
Mr. Derek Michael Blake is a Mental Health Counselor in Eugene, Oregon. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
1790 W 11th AveEugene, OR 97402-3758
Phone: (541) 868-0661
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1982880597 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 14, 2008 |
| Last updated in NPPES | January 14, 2008 |
| Mailing address | 1790 W 11th Ave, Eugene, OR 97402-3758 |
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