Individual provider · Type 1 NPI

Jennifer Lynn Blake, LMHC

Mental Health Counselor · Fulton, NY

NPI number 1366139552 Active

Practice location

98 N 2nd St
Fulton, NY 13069-1254

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X18-P119545-01 (NY)
Mental Health Counselor Primary 101YM0800X015211 (NY)

Mental Health Counselor: Definition to come...

14 other providers at this address

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About NPI 1366139552

Jennifer Lynn Blake, LMHC's National Provider Identifier is 1366139552, issued on Apr 19, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fulton, NY. The record was last updated on Oct 1, 2024.