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Ronald Elmer Blake SR.
Mental Health Counselor in Rawlins, Wyoming
NPI 1588797153

Ronald Elmer Blake SR. is a Mental Health Counselor based in Rawlins, WY and is specialized in Mental Health. Ronald Elmer Blake SR. practices in Rawlins, WY. The NPI Number for Ronald Elmer Blake SR. is 1588797153 and holds a License No. LCSW-555 (Wyoming).

The current practice location address for Ronald Elmer Blake SR. is 721 W Maple St, Rawlins, WY and can be reached out via phone at 307-324-7156.

Location: 721 W Maple St, Rawlins, WY, 82301-5447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588797153
Provider Name
Ronald Elmer Blake SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
721 W Maple St, Rawlins, WY, 82301-5447
Phone Number
307-324-7156
Fax Number
Provider Enumeration Date
03/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
721 W Maple St
City
Rawlins
State
Wyoming
Zip
82301-5447
Phone Number
307-324-7156
Fax Number
person
Provider Business Mailing Address Details
Address
721 W Maple St
City
Rawlins
State
Wyoming
Zip
82301-5447
Phone Number
307-324-7156
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LCSW-555 (Wyoming)
Definition
Definition to come...
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