person
Jillisa Yvette Blake, CDCA
Addiction (Substance Use Disorder) Counselor in Gahanna, Ohio
NPI 1912610866

Jillisa Yvette Blake is an Addiction (Substance Use Disorder) Counselor based in Gahanna, OH and is specialized in Addiction (Substance Use Disorder). Jillisa Yvette Blake practices in Gahanna, OH and has the professional credentials of CDCA. The NPI Number for Jillisa Yvette Blake is 1912610866 and holds a License No. CDCA.182979 (Ohio).

The current practice location address for Jillisa Yvette Blake is 819 Venetian Way, Gahanna, OH and can be reached out via phone at 614-956-9323.

Location: 819 Venetian Way, Gahanna, OH, 43230-1855
person
Provider Profile Details
NPI Number
1912610866
Provider Name
Jillisa Yvette Blake
Credential
CDCA
Provider Entity Type
Individual
Gender
Female
Address
819 Venetian Way, Gahanna, OH, 43230-1855
Phone Number
614-956-9323
Fax Number
Provider Enumeration Date
01/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
819 Venetian Way
City
State
Zip
43230-1855
Phone Number
614-956-9323
Fax Number
person
Provider Business Mailing Address Details
Address
819 Venetian Way
City
State
Zip
43230-1855
Phone Number
614-956-9323
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA.182979 (Ohio)
Definition
Definition to come...
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