Benjamin K Blake, MFT, MA
Marriage & Family Therapist in San Marcos, CA. Individual provider (NPI-1).
NPI number1720115942
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720115942
- Entity type
- Individual (NPI-1)
- Name
- Mr. Benjamin K Blake
- Credential
- MFT, MA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 27, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | mft 28197 | CA | Yes |
Practice location
120 Mata WaySan Marcos, CA 92069-2936
Phone 760-510-4737
Mailing address
1732 Mallow CtCarlsbad, CA 92011-5122
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All 118 Marriage & Family Therapist providers in San Marcos · All 2,436 providers in San Marcos
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