Blake, Benjamin K

Blake, Benjamin K is an sole proprietor health care provider with primary practice located at 120 Mata Way , San Marcos CA 92069-2936. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Blake, Benjamin K can be contacted via phone (760) 510-4737.

Contact Information

Primary practice address
120 Mata Way San Marcos CA 92069-2936
Phone: (760) 510-4737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT 28197 California

Profile Details

NPI number 1720115942
LBN Legal business name Blake, Benjamin K
Credentials MFT, MA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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