Organization
NATICA BLAKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATICA BLAKE (THERAPIST)
(203) 800-2176
Entity
Organization
Contact information
Practice address
145 TREMONT ST, ANSONIA, CT 06401-1959
(203) 800-2176
Mailing address
1204 MAIN ST # 721, BRANFORD, CT 06405-3787
(203) 800-2176
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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