| Carl C Blake, LPC | |
|
12163 South Perry Park Road, Larkspur, CO 80118 | |
| (303) 681-2400 | |
| (303) 681-2401 |
| Full Name | Carl C Blake |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 12163 South Perry Park Road, Larkspur, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811018138 | NPI | - | NPPES |
| 78732069 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC 4701 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carl C Blake, LPC 14142 Denver West Pkwy, Suite 225, Lakewood, CO 80401-3189 Ph: (303) 237-6865 | Carl C Blake, LPC 12163 South Perry Park Road, Larkspur, CO 80118 Ph: (303) 681-2400 |
Diane M Wells, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6369 Apache Dr # 6369, Larkspur, CO 80118 Phone: 303-912-3717 | |
Ms. Ola Dlaboha Kuzma, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12163 S. Perry Park Rd., Larkspur, CO 80118 Phone: 303-350-2746 Fax: 303-681-2401 | |
Ms. Carla Spence, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12163 Perry Park Rd, Larkspur, CO 80118 Phone: 303-350-2737 Fax: 303-681-2401 |