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Molly Blake
Pastoral Counselor in Plano, Texas
NPI 1801465596

Molly Blake is a Pastoral Counselor based in Dallas, TX and is specialized in Pastoral. Molly Blake practices in Plano, TX. The NPI Number for Molly Blake is 1801465596 and holds a License No. (Texas).

The current practice location address for Molly Blake is 1255 W 15Th St Ste 1025, Plano, TX and can be reached out via phone at 972-673-0404.

Location: 1255 W 15Th St Ste 1025, Plano, TX, 75204-1164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801465596
Provider Name
Molly Blake
Credential
Provider Entity Type
Individual
Gender
Female
Address
1255 W 15Th St Ste 1025, Plano, TX, 75204-1164
Phone Number
972-673-0404
Fax Number
Provider Enumeration Date
06/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1255 W 15Th St Ste 1025
City
Plano
State
Texas
Zip
75075-7253
Phone Number
972-673-0404
Fax Number
person
Provider Business Mailing Address Details
Address
1255 W 15Th St Ste 1025
City
Plano
State
Texas
Zip
75075-7253
Phone Number
972-673-0404
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
()
Definition
Definition to come...
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