person
Mr. Derek Michael Blake
Mental Health Counselor in Eugene, Oregon
NPI 1982880597

Derek Michael Blake is a Mental Health Counselor based in Eugene, OR and is specialized in Mental Health. Derek Michael Blake practices in Eugene, OR. The NPI Number for Derek Michael Blake is 1982880597 and holds a License No. (Oregon).

The current practice location address for Derek Michael Blake is 1790 W 11Th Ave, Eugene, OR and can be reached out via phone at 541-868-0661.

Location: 1790 W 11Th Ave, Eugene, OR, 97402-3758
person
Provider Profile Details
NPI Number
1982880597
Provider Name
Derek Michael Blake
Credential
Provider Entity Type
Individual
Gender
Male
Address
1790 W 11Th Ave, Eugene, OR, 97402-3758
Phone Number
541-868-0661
Fax Number
Provider Enumeration Date
01/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1790 W 11Th Ave
City
State
Zip
97402-3758
Phone Number
541-868-0661
Fax Number
person
Provider Business Mailing Address Details
Address
1790 W 11Th Ave
City
State
Zip
97402-3758
Phone Number
541-868-0661
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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