Edward Blake is a counselor in Petaluma, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Edward Blake NPI is 1124435227. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
365 KUCK LN
PETALUMA, CA
ZIP 94952-606
Phone: (707) 795-6954
The enumeration date for this NPI number is 7/21/2014 and was last updated on 7/21/2014.