Anthonette Blake

NPI #1891200432 in Ashtabula, Ohio

Provider Information

NPI Number: 1891200432
Entity Type: Individual
Name: Anthonette Blake
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 5, 2017
Last Updated: Jan 3, 2024

Practice Location

Address: 2801 C CT
City: Ashtabula
State: Ohio
ZIP Code: 44004-4577
Phone: (440) 998-4210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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