Individual provider · Type 1 NPI

Natica Blake

Mental Health Counselor · Bridgeport, CT

NPI number 1801388772 Active

Practice location

170 Bennett St
Bridgeport, CT 06605

Call (203) 330-6790 Map

Other practice locations

  • 56 Church St, Waterbury, CT 06702-2103 · (203) 755-1196
  • 56 Church St, Waterbury, CT 06702-2103 · (203) 755-1196

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1801388772

Natica Blake's National Provider Identifier is 1801388772, issued on Jun 5, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bridgeport, CT. The record was last updated on Nov 6, 2019.