Organization
THOMAS BLAKE THERAPY P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BLAKE LMFT (FOUNDER/PRACTICE OWNER)
(732) 256-1559
Entity
Organization
Contact information
Practice address
104-110 MAPLE AVENUE, RED BANK, NJ 07701
(732) 256-1559
Mailing address
104-110 MAPLE AVENUE, RED BANK, NJ 07701
(732) 256-1559
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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