Blake, Soraya

Blake, Soraya is an sole proprietor health care provider with primary practice located at 1359 N Grand Ave , Covina CA 91724-1016. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Blake, Soraya can be contacted via phone (626) 430-2900.

Contact Information

Primary practice address
1359 N Grand Ave Covina CA 91724-1016
Phone: (626) 430-2900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X AMFT144717 California

Profile Details

NPI number 1861733925
LBN Legal business name Blake, Soraya
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2013
Last updated Sep 19th, 2024 - about 2 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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