person
Carl C Blake, LPC
Mental Health Counselor in Larkspur, Colorado
NPI 1811018138

Carl C Blake is a Mental Health Counselor based in Lakewood, CO and is specialized in Mental Health. Carl C Blake practices in Larkspur, CO and has the professional credentials of LPC. The NPI Number for Carl C Blake is 1811018138 and holds a License No. LPC 4701 (Colorado).

The current practice location address for Carl C Blake is 12163 South Perry Park Road, Larkspur, CO and can be reached out via phone at 303-681-2400 and via fax at 303-681-2401.

Location: 12163 South Perry Park Road, Larkspur, CO, 80401-3189
person
Provider Profile Details
NPI Number
1811018138
Provider Name
Carl C Blake
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
12163 South Perry Park Road, Larkspur, CO, 80401-3189
Phone Number
303-681-2400
Fax Number
303-681-2401
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
78732069 05 CO
institution
Provider Business Practice Location Address Details
Address
12163 South Perry Park Road
City
State
Zip
80118
Phone Number
303-681-2400
Fax Number
303-681-2401
person
Provider Business Mailing Address Details
Address
12163 South Perry Park Road
City
State
Zip
80118
Phone Number
303-681-2400
Fax Number
303-681-2401
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC 4701 (Colorado)
Definition
Definition to come...
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