Individual provider · Type 1 NPI

Shanterica Blake

Mental Health Counselor · Columbus, OH

NPI number 1154084812 Active

Practice location

1515 Indianola Ave
Columbus, OH 43201-2118

Call (614) 294-2661 Map

Mailing address

87 N Westmoor Ave Apt 1
Columbus, OH 43204-1351

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC.2003028 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1154084812

Shanterica Blake's National Provider Identifier is 1154084812, issued on Oct 20, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbus, OH. The record was last updated on Oct 20, 2021.