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Gwendolyn Blake, MA,EDS,LPC
Mental Health Counselor in Clinton, New Jersey
NPI 1356868236

Gwendolyn Blake is a Mental Health Counselor based in Milford, NJ and is specialized in Mental Health. Gwendolyn Blake practices in Clinton, NJ and has the professional credentials of MA,EDS,LPC. The NPI Number for Gwendolyn Blake is 1356868236 and holds a License No. 37PC00540100 (New Jersey).

The current practice location address for Gwendolyn Blake is 65 Old Rt. 22, Clinton, NJ and can be reached out via phone at 908-386-2897.

Location: 65 Old Rt. 22, Clinton, NJ, 08848-1003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356868236
Provider Name
Gwendolyn Blake
Credential
MA,EDS,LPC
Provider Entity Type
Individual
Gender
Female
Address
65 Old Rt. 22, Clinton, NJ, 08848-1003
Phone Number
908-386-2897
Fax Number
Provider Enumeration Date
08/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
65 Old Rt. 22
City
Clinton
State
New Jersey
Zip
08809
Phone Number
908-386-2897
Fax Number
person
Provider Business Mailing Address Details
Address
65 Old Rt. 22
City
Clinton
State
New Jersey
Zip
08809
Phone Number
908-386-2897
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
37PC00540100 (New Jersey)
Definition
Definition to come...
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