| Doctor Name: | MS. JANIE KATHERINE BLAKE |
| NPI Number: | 1972760585 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SOCIAL WORKER |
| License Number: | SW599 |
| Business Practice Address: | 4431 Davie Road Aka 64th Avenue Suite 105 Davie, FL - 333143458 |
| Business Phone Number: | 9547882355 |
| Business Fax Number: | 9547813551 |
| Mailing Address: | 2601 Ne 15th Street, POMPANO BEACH |
| State: | FL |
| Postal Code: | 330628253 |
| Phone Number: | 9547882355 |
| Fax Number: | 9547813551 |
| NPI Enumeration Date: | 05/21/2008 |
| NPI Last Update Date: | 05/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | SW599 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |