Individual provider · Type 1 NPI

Jessica Katharine Blose, LMHC

Mental Health Counselor · Niagara Falls, NY

NPI number 1750705331 Active

Practice location

1001 11th St
Niagara Falls, NY 14301-1201

Fax (716) 278-8111

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X005930-1 (NY)
Mental Health Counselor Primary 101YM0800X005930-1 (NY)

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About NPI 1750705331

Jessica Katharine Blose, LMHC's National Provider Identifier is 1750705331, issued on Feb 18, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Niagara Falls, NY. The record was last updated on Feb 18, 2014.