person
Kenneth W Blakely
Mental Health Counselor in Redwood City, California
NPI 1053534388

Kenneth W Blakely is a Mental Health Counselor based in Redwood City, CA and is specialized in Mental Health. Kenneth W Blakely practices in Redwood City, CA. The NPI Number for Kenneth W Blakely is 1053534388 and holds a License No. (California).

The current practice location address for Kenneth W Blakely is 400 Edmonds Rd, Redwood City, CA and can be reached out via phone at 650-839-1810.

Location: 400 Edmonds Rd, Redwood City, CA, 94062-3803
person
Provider Profile Details
NPI Number
1053534388
Provider Name
Kenneth W Blakely
Credential
Provider Entity Type
Individual
Gender
Male
Address
400 Edmonds Rd, Redwood City, CA, 94062-3803
Phone Number
650-839-1810
Fax Number
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 Edmonds Rd
City
State
Zip
94062-3803
Phone Number
650-839-1810
Fax Number
person
Provider Business Mailing Address Details
Address
400 Edmonds Rd
City
State
Zip
94062-3803
Phone Number
650-839-1810
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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