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

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone 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.