NPI

Colleen M Blake

NPI 1710298443

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
LCPC
Type
Individual
Enumeration date
2010-06-28
Last updated
2011-11-10

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
1120 Randall Ct
City
Geneva IL
Postal code
60134-3911
Phone
(630) 232-1070

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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