Individual provider · Type 1 NPI

Nicholas Glenn Blake

Addiction (Substance Use Disorder) Counselor · Boston, MA

NPI number 1437076346 Active

Practice location

23 Bradston St
Boston, MA 02118-2703

Call (617) 318-6488 Map

Fax (617) 427-1263

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1437076346

Nicholas Glenn Blake's National Provider Identifier is 1437076346, issued on Jul 1, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boston, MA. The record was last updated on Jul 1, 2026.