Individual provider · Type 1 NPI

Shakeya Tyneice Blakes

Mental Health Counselor · Shelton, CT

NPI number 1114748951 Active

Practice location

1 Enterprise Dr Ste 415
Shelton, CT 06484-4631

Call (203) 255-5078 Map

Fax (203) 295-7663

Mailing address

26 Crescent St
Ansonia, CT 06401-2161

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X00000000000 (CT)

Mental Health Counselor: Definition to come...

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About NPI 1114748951

Shakeya Tyneice Blakes's National Provider Identifier is 1114748951, issued on Oct 23, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shelton, CT. The record was last updated on Oct 23, 2024.