Captain Blake Soderstrom is a Brimley, Michigan based counselor who is specialized as Mental Health Counselor. Active license number of Captain Blake Soderstrom is 010908-01 for Mental Health Counselor in New York. current practice location is Po Box 303, Brimley. Patients can book an appointment with at 906-203-8354.
Captain Blake Soderstrom is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Captain Blake Soderstrom speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Captain Blake Soderstrom |
| Specialization: | Mental Health Counselor |
| Accepts Medicare Assignment: | No |
| Practice Address: | Po Box 303, Brimley,
Michigan, 49715-0303 |
| Phone: | 906-203-8354 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1699176677 |
| NPI Enumeration Date: | 10 Sep, 2014 |
| NPI Last Update On: | 05 Apr, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Captain Blake Soderstrom are as mentioned below.
| License Number | Specialization | State | Status | |
| 010908-01 | Mental Health Counselor | New York | Primary | |
| 6401222931 | Mental Health Counselor | Michigan | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Captain Blake Soderstrom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 03505424 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 303,
Brimley, Michigan |
| Zip: | 49715-0303 |
| Phone Number: | 906-203-8354 |
Patients can reach Captain Blake Soderstrom at
Po Box 303, Brimley, Michigan or can
call to book an appointment on 906-203-8354.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.