Individual provider · Type 1 NPI

Etosha Marie Blank

Mental Health Counselor · Brooklyn, NY

NPI number 1780222869 Active

Practice location

705 Manhattan Ave
Brooklyn, NY 11222-2909

Call (347) 474-8464 Map

Mailing address

1021 Windrace Trl
Sanford, NC 27332-8029

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X23138 (NC)
Mental Health Counselor 101YM0800X23138 (NC)
Professional Counselor 101YP2500X012547 (NY)
Mental Health Counselor Primary 101YM0800X012547 (NY)

Mental Health Counselor: Definition to come...

24 other providers at this address

Other mental health counselor providers in Brooklyn

See all in Brooklyn →

About NPI 1780222869

Etosha Marie Blank's National Provider Identifier is 1780222869, issued on Dec 19, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 19, 2026.