person
Kecia Marie Blakely, MSPSY,LMHC
Mental Health Counselor in South Bend, Indiana
NPI 1750602355

Kecia Marie Blakely is a Mental Health Counselor based in South Bend, IN and is specialized in Mental Health. Kecia Marie Blakely practices in South Bend, IN and has the professional credentials of MSPSY,LMHC. The NPI Number for Kecia Marie Blakely is 1750602355 and holds a License No. 39004492A (Indiana).

The current practice location address for Kecia Marie Blakely is 52189 Scott St, South Bend, IN and can be reached out via phone at 574-208-3359 and via fax at 866-812-9889. You can also correspond with Kecia Marie Blakely through the mailing address at 1143 E IRELAND RD # 1003, SOUTH BEND, IN - 46614-3446 (mailing address contact number: 574-208-3359).

Location: 52189 Scott St, South Bend, IN, 46614-3446
person
Provider Profile Details
NPI Number
1750602355
Provider Name
Kecia Marie Blakely
Credential
MSPSY,LMHC
Provider Entity Type
Individual
Gender
Female
Address
52189 Scott St, South Bend, IN, 46614-3446
Phone Number
574-208-3359
Fax Number
866-812-9889
Provider Enumeration Date
06/17/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
52189 Scott St
City
State
Zip
46637-2952
Phone Number
574-208-3359
Fax Number
866-812-9889
person
Provider Business Mailing Address Details
Address
52189 Scott St
City
State
Zip
46637-2952
Phone Number
574-208-3359
Fax Number
866-812-9889
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
39004492A (Indiana)
Definition
Definition to come...
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