Individual
BRITTANY BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
169 MANTHORNE RD, WEST ROXBURY, MA 02132-1544
(919) 614-8228
Mailing address
169 MANTHORNE RD, WEST ROXBURY, MA 02132-1544
(919) 614-8228
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10000470
MA
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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