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General NPI Number Information
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NPI Number | 1023972023
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Entity Type | Individual
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Provider Name | JANELL AKILAH BLAKE APCC
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Gender | Female
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Dates
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Enumeration Date | 12/13/2025
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 2425 CRANSTON DR UNIT 227
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City | ESCONDIDO
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State | CA
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Zip | 92025-7047
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Country | US
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Telephone | 929-227-1429
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Fax |
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Provider Business Mailing Address
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Address Line | 5290 OVERPASS RD STE 220
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City | SANTA BARBARA
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State | CA
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Zip | 93111-2051
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | APCC12546
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License Number State | CA
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