Individual provider · Type 1 NPI

Blake Robert Brokaw, MA

Counselor · Allston, MA

NPI number 1134895238 Active

Practice location

14 Fordham Rd
Allston, MA 02134-3000

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone 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 1134895238

Blake Robert Brokaw, MA's National Provider Identifier is 1134895238, issued on Aug 18, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Allston, MA. The record was last updated on Aug 18, 2021.