Kenneth Aaron Blake, MTS, CCDP
NPI #1851444012 in Chester, Pennsylvania
Provider Information
- NPI Number
- 1851444012
- Entity Type
- Individual
- Name
- Kenneth Aaron Blake, MTS, CCDP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- MTS, CCDP
- Enumeration Date
- Jan 19, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2600 W 9TH ST
- Address 2
- 4TH FLR
- City
- Chester
- State
- Pennsylvania
- ZIP Code
- 19013-2040
- Phone
- (610) 497-7200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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