Mary Elizabeth Blake
Counselor, Mental Health in Columbus, MS. Individual provider (NPI-1).
NPI number1225635451
StatusActive
Last updated in NPPESOct 1, 2020
Details
- NPI
- 1225635451
- Entity type
- Individual (NPI-1)
- Name
- Mary Elizabeth Blake
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2020
- Certification date
- Oct 1, 2020
- Last updated
- Oct 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1001 Main StColumbus, MS 39701-4751
Phone 662-328-9225
Mailing address
302 N Jackson StStarkville, MS 39759-2504
Phone 662-323-9318
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Other Mental Health Counselor providers in Columbus, MS
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