Individual provider · Type 1 NPI

Mary Ellen Blake, LPCC

Mental Health Counselor · Ashtabula, OH

NPI number 1093875783 Active

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.