Edwards, Blake Griffin

Edwards, Blake Griffin is an individual health care provider with primary practice located at 600 Orondo Ave Ste 1 , Wenatchee WA 98801-2800. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Edwards, Blake Griffin can be contacted via phone (509) 662-6000.

Contact Information

Primary practice address
600 Orondo Ave Ste 1 Wenatchee WA 98801-2800
Phone: (509) 662-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X RC00046002 Washington
Behavioral Health & Social Service Providers / Counselor 101Y00000X CG60121736 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 201619 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LF60173194 Washington

Profile Details

NPI number 1326379637
LBN Legal business name Edwards, Blake Griffin
Credentials MSMFT LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2010
Last updated Jul 16th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326379637 NPPES
Washington MEDICAID 12043

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