DEREK J BLAKE

SARASOTA, FL
NPI1891553012
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-03-12
Last Update Date2024-03-12
Business Address
Mr. DEREK J BLAKE MS
3651 COUNTRY PLACE BLVD
SARASOTA, FL 34233-2115
Phone number: 941-726-9114
Mailing Address
Mr. DEREK J BLAKE MS
3651 COUNTRY PLACE BLVD
SARASOTA, FL 34233-2115
Phone number: 941-726-9114