Individual provider · Type 1 NPI
Gwendolyn Blake, MA, ED.S., LPC
Mental Health Counselor · Clinton, NJ
NPI number
1356868236
Active
Practice location
65 Old Rt. 22, Suite 7B
Clinton, NJ 08809
Mailing address
285 Hillcrest Dr
Milford, NJ 08848-1003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 37PC00540100 (NJ) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Clinton
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About NPI 1356868236
Gwendolyn Blake, MA, ED.S., LPC's National Provider Identifier is 1356868236, issued on Aug 23, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clinton, NJ. The record was last updated on Aug 23, 2017.