Blake, Keith

Blake, Keith is an individual health care provider with primary practice located at 725 Highland Ave , Winston Salem NC 27101-4206. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Blake, Keith can be contacted via phone (336) 607-8523.

Contact Information

Primary practice address

725 Highland Ave Winston Salem NC 27101-4206

Phone: (336) 607-8523

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Counselor	101Y00000X

Profile Details

NPI number	1821283417
LBN Legal business name	Blake, Keith
Credentials
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Sep 7th, 2007
Last updated	Sep 7th, 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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