Gwendolyn Blake, MA, ED.S., LPC
NPI #1356868236 in Clinton, New Jersey
Provider Information
- NPI Number
- 1356868236
- Entity Type
- Individual
- Name
- Gwendolyn Blake, MA, ED.S., LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- MA, ED.S., LPC
- Enumeration Date
- Aug 23, 2017
- Last Updated
- Aug 23, 2017
Practice Location
- Address
- 65 OLD RT. 22
- Address 2
- SUITE 7B
- City
- Clinton
- State
- New Jersey
- ZIP Code
- 08809
- Phone
- (908) 386-2897
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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