Organization · Type 2 NPI
Natica Blake LLC
Mental Health Counselor · Ansonia, CT
NPI number
1154048296
Active
Practice location
145 Tremont St
Ansonia, CT 06401-1959
Mailing address
1204 Main St # 721
Branford, CT 06405-3787
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1154048296
Natica Blake LLC's National Provider Identifier is 1154048296, issued on Oct 19, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ansonia, CT. The record was last updated on Oct 19, 2022.