BENJAMIN K BLAKE

SAN MARCOS, CA
NPI1720115942
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  mft 28197)
Enumeration Date2007-02-27
Last Update Date2007-07-08
Business Address
Mr. BENJAMIN K BLAKE MFT, MA
120 MATA WAY
SAN MARCOS, CA 92069-2936
Phone number: 760-510-4737
Mailing Address
Mr. BENJAMIN K BLAKE MFT, MA
1732 MALLOW CT
CARLSBAD, CA 92011-5122
Phone number:
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