-- RONALD ELMER BLAKE Sr.
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1588797153- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 721 W MAPLE ST, RAWLINS, WY, 823015447
- Phone
- (307) 324-7156
Specialties & Taxonomies
Counselor, Mental Health
Primary License: WY #LCSW-555