Individual
MS. ANDREA S BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BLOODBORNE PATHOLOGI
Contact information
Practice address
6054 WILMINGTON AVE, EGG HARBOR TOWNSHIP, NJ 08234-6210
(609) 761-8762
Mailing address
6054 WILMINGTON AVE, EGG HARBOR TOWNSHIP, NJ 08234-6210
(609) 264-3643
(609) 264-3643
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
171400000X
Health & Wellness Coach
Primary
.
NJ
171400000X
Health & Wellness Coach
—
NJ
174H00000X
Health Educator
—
—
Other
Enumeration date
05/21/2021
Last updated
11/07/2025
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