Individual provider · Type 1 NPI

Anathaleo Blake, B.A.

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1992101141 Active

Practice location

3584 Jerome Ave
Bronx, NY 10467-1006

Call (718) 653-1537 Map

Fax (718) 228-6993

Mailing address

79 Glenridge Rd
Glenville, NY 12302-4523

Other practice locations

  • 9114 37th Ave, Jackson Heights, NY 11372-7920 · (718) 779-1831

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X38640-T (NY)
Social Worker 104100000XNone listed

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About NPI 1992101141

Anathaleo Blake, B.A.'s National Provider Identifier is 1992101141, issued on Nov 17, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on Aug 21, 2024.