Individual provider · Type 1 NPI
Mary Ellen Blake, LPCC
Mental Health Counselor · Ashtabula, OH
NPI number
1093875783
Active
Practice location
Catholic Charities, 4200 Park Ave 3rd Floor
Ashtabula, OH 44004
Fax (440) 992-5974
Mailing address
1120 Elk Dr
Ashtabula, OH 44004-2218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | E345 (OH) |
Mental Health Counselor: Definition to come...
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About NPI 1093875783
Mary Ellen Blake, LPCC's National Provider Identifier is 1093875783, issued on Dec 11, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ashtabula, OH. The record was last updated on Jul 8, 2007.