Cynthia Blake, Ma, Lpc, Ncc Pllc | |
7362 Remcon Cir El Paso TX 79912-1623 | |
(915) 777-2979 | |
(888) 974-1081 |
Full Name | Cynthia Blake, Ma, Lpc, Ncc Pllc |
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Speciality | Counselor |
Location | 7362 Remcon Cir, El Paso, Texas |
Authorized Official Name and Position | Cynthia Blake (OWNER) |
Authorized Official Contact | 9157772979 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cynthia Blake, Ma, Lpc, Ncc Pllc 7362 Remcon Cir El Paso TX 79912-1623 Ph: (915) 777-2979 | Cynthia Blake, Ma, Lpc, Ncc Pllc 7362 Remcon Cir El Paso TX 79912-1623 Ph: (915) 777-2979 |
NPI Number | 1245893841 |
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Provider Enumeration Date | 04/18/2019 |
Last Update Date | 06/18/2024 |
Certification Date | 06/18/2024 |
Medicare PECOS PAC ID | 7012451966 |
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Medicare Enrollment ID | O20240702002446 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245893841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Cynthia Blake |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1821337247 PECOS PAC ID: 9739623695 Enrollment ID: I20240702002587 |
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