MISS ANDRA CONIECE BLAKE MFTI
NPI 1295803328
Counselor - Mental Health in Commerce, CA
Active since November 30, 2006
About Miss Andra Coniece Blake Mfti NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS ANDRA CONIECE BLAKE MFTI (NPI 1295803328) is an individual mental health provider in Commerce, California and active in the NPI registry since November 2006.
NPPES Registry Identity
NPI1295803328
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS ANDRA CONIECE BLAKECredential: MFTI
Location Address1500 S MCDONNELL AVECommerce, CA 90040-5623
Mailing Address11702 Menlo Ave, Apt. #10Hawthorne, CA 90250-2585 · (323) 981-4322
Phone(323) 981-4322
Sole ProprietorYes
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295803328 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1500 S MCDONNELL AVE, Commerce, CA 90040
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Marriage & Family Therapist
1500 S MCDONNELL AVE
COMMERCE, CA 90040
COMMERCE, CA 90040
Rehabilitation Practitioner
1500 S MCDONNELL AVE
COMMERCE, CA 90040
COMMERCE, CA 90040
Counselor (Mental Health)
1500 S MCDONNELL AVE
LOS ANGELES, CA 90040
LOS ANGELES, CA 90040
Student in an Organized Health Care Education/Training Program
1500 S MCDONNELL AVE
LOS ANGELES, CA 90040
LOS ANGELES, CA 90040
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295803328, enumerated as an "individual" on November 30, 2006.
The provider is located at 1500 S MCDONNELL AVE COMMERCE, CA 90040 and the phone number is (323) 981-4322.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.