Individual provider · Type 1 NPI
Jonathan Blake
Mental Health Counselor · Stoneham, MA
NPI number
1235624313
Active
Practice location
219 Green St
Stoneham, MA 02180-1372
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1235624313
Jonathan Blake's National Provider Identifier is 1235624313, issued on Jun 29, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stoneham, MA. The record was last updated on Jun 27, 2022.