Walter B Blake
Walter B Blake is a Mental Health Counselor in Saint Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2024
Practice location Address checks out
4024 Central AveSaint Petersburg, FL 33711-1239
Phone: (727) 327-7656
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (FL) |
|---|
Record details
| NPI number | 1013746031 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 29, 2024 |
| Last updated in NPPES | July 29, 2024 |
| Certification date | July 29, 2024 |
| Mailing address | Po Box 10970, Saint Petersburg, FL 33733-0970 |
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