Individual provider · Type 1 NPI

Gabrielle Blake, CDCA

Professional Counselor · Newton Falls, OH

NPI number 1245862200 Active

Practice location

100 Superior St
Newton Falls, OH 44444-1745

Mailing address

7939 Castle Rock Dr NE
Warren, OH 44484-1412

Other practice locations

  • 920 Boardman Canfield Rd, Boardman, OH 44512-4218 · (330) 953-0243

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCDCA.171613 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400XC.2103079 (OH)
Professional Counselor Primary 101YP2500XC.2103079 (OH)

Professional Counselor: Definition to come...

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About NPI 1245862200

Gabrielle Blake, CDCA's National Provider Identifier is 1245862200, issued on Feb 7, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Newton Falls, OH. The record was last updated on Feb 2, 2021.