Individual
MR. BLAKE W JONAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
550 KINDERKAMACK RD STE 108, ORADELL, NJ 07649-1500
(201) 523-4113
Mailing address
239 PROSPECT AVE APT 1, NEW MILFORD, NJ 07646-1764
(201) 523-4113
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3TP15-018
NJ
Other
Enumeration date
10/05/2015
Last updated
05/27/2021
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