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Jennifer Lynn Blake, MHC-LP
Mental Health Counselor in Fulton, New York
NPI 1366139552

Jennifer Lynn Blake is a Mental Health Counselor based in Fulton, NY and is specialized in Mental Health. Jennifer Lynn Blake practices in Fulton, NY and has the professional credentials of MHC-LP. The NPI Number for Jennifer Lynn Blake is 1366139552 and holds a License No. 18-P119545-01 (New York).

The current practice location address for Jennifer Lynn Blake is 98 N 2Nd St, Fulton, NY and can be reached out via phone at 315-326-3555.

Location: 98 N 2Nd St, Fulton, NY, 13069-1254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366139552
Provider Name
Jennifer Lynn Blake
Credential
MHC-LP
Provider Entity Type
Individual
Gender
Female
Address
98 N 2Nd St, Fulton, NY, 13069-1254
Phone Number
315-326-3555
Fax Number
Provider Enumeration Date
04/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
98 N 2Nd St
City
Fulton
State
New York
Zip
13069-1254
Phone Number
315-326-3555
Fax Number
person
Provider Business Mailing Address Details
Address
98 N 2Nd St
City
Fulton
State
New York
Zip
13069-1254
Phone Number
315-326-3555
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
18-P119545-01 (New York)
Definition
Definition to come...
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