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Miss Andra Coniece Blake, MFTI
Mental Health Counselor in Commerce, California
NPI 1295803328

Andra Coniece Blake is a Mental Health Counselor based in Hawthorne, CA and is specialized in Mental Health. Andra Coniece Blake practices in Commerce, CA and has the professional credentials of MFTI. The NPI Number for Andra Coniece Blake is 1295803328 and holds a License No. (California).

The current practice location address for Andra Coniece Blake is 1500 S Mcdonnell Ave, Commerce, CA and can be reached out via phone at 323-981-4322.

Location: 1500 S Mcdonnell Ave, Commerce, CA, 90250-2585
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295803328
Provider Name
Andra Coniece Blake
Credential
MFTI
Provider Entity Type
Individual
Gender
Female
Address
1500 S Mcdonnell Ave, Commerce, CA, 90250-2585
Phone Number
323-981-4322
Fax Number
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1500 S Mcdonnell Ave
City
Commerce
State
California
Zip
90040-5623
Phone Number
323-981-4322
Fax Number
person
Provider Business Mailing Address Details
Address
1500 S Mcdonnell Ave
City
Commerce
State
California
Zip
90040-5623
Phone Number
323-981-4322
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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