Individual provider · Type 1 NPI

Jennifer Kay Blake, MA

Counselor · Eugene, OR

NPI number 1972620110 Active

Practice location

150 Shelton Mcmurphey Blvd Ste 101
Eugene, OR 97401-5015

Call (541) 210-8090 Map

Fax (541) 210-5310

Mailing address

3995 Marcola Rd
Springfield, OR 97477-7948

Other practice locations

  • 3995 Marcola Rd, Springfield, OR 97477-7948 · (541) 726-1465

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XC5663 (OR)
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1972620110

Jennifer Kay Blake, MA's National Provider Identifier is 1972620110, issued on Mar 23, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Eugene, OR. The record was last updated on May 28, 2020.