Jade Blake
NPI #1104508530 in West Springfield, Massachusetts
Provider Information
- NPI Number
- 1104508530
- Entity Type
- Individual
- Name
- Jade Blake
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Aug 4, 2023
- Last Updated
- Aug 4, 2023
Practice Location
- Address
- 200 HILLSIDE CIR
- City
- West Springfield
- State
- Massachusetts
- ZIP Code
- 01089-4679
- Phone
- (413) 302-2549
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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