Individual provider · Type 1 NPI
Jade Blake
Counselor · West Springfield, MA
NPI number
1104508530
Active
Practice location
200 Hillside Cir
West Springfield, MA 01089-4679
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1104508530
Jade Blake's National Provider Identifier is 1104508530, issued on Aug 4, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in West Springfield, MA. The record was last updated on Aug 4, 2023.