Organization
BLAKE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE CAROLYN BLAKE LCSW (CHIEF EXECUTIVE OFFICER)
(908) 324-8032
Entity
Organization
Contact information
Practice address
20 COMMERCE DRIVE, SUITE 135 #221, CRANFORD, NJ 07016
(908) 324-8032
Mailing address
20 COMMERCE DRIVE, SUITE 135 #221, CRANFORD, NJ 07016
(908) 324-8032
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/12/2021
Last updated
06/12/2021
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