Natica Blake LLC

NPI #1154048296 in Ansonia, Connecticut

Provider Information

NPI Number: 1154048296
Entity Type: Organization
Organization Name: Natica Blake LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 19, 2022
Last Updated: Oct 19, 2022

Practice Location

Address: 145 TREMONT ST
City: Ansonia
State: Connecticut
ZIP Code: 06401-1959
Phone: (203) 800-2176

Authorized Official

Name: NATICA BLAKE
Title: THERAPIST
Phone: (203) 800-2176

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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