Natica Blake Llc | |
145 Tremont St Ansonia CT 06401-1959 | |
(203) 800-2176 | |
Not Available |
Full Name | Natica Blake Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 145 Tremont St, Ansonia, Connecticut |
Authorized Official Name and Position | Natica Blake (THERAPIST) |
Authorized Official Contact | 2038002176 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Natica Blake Llc 1204 Main St # 721 Branford CT 06405-3787 Ph: (203) 800-2176 | Natica Blake Llc 145 Tremont St Ansonia CT 06401-1959 Ph: (203) 800-2176 |
NPI Number | 1154048296 |
---|---|
Provider Enumeration Date | 10/19/2022 |
Last Update Date | 10/19/2022 |
Certification Date | 10/19/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154048296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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