Blake, Diane
Blake, Diane is an sole proprietor health care provider with primary practice located at 80 Eureka Sq Suite 151, Pacifica CA 94044-2654. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blake, Diane can be contacted via phone (650) 713-5224.Contact Information
Primary practice address
80 Eureka Sq Suite 151
Pacifica CA 94044-2654
Phone: (650) 713-5224
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS 24542 | California |
Profile Details
| NPI number | 1437502903 |
|---|---|
| LBN Legal business name | Blake, Diane |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2016 |
| Last updated | Sep 29th, 2016 - about 8 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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