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Jennifer Kay Blake, MA
Counselor in Eugene, Oregon
NPI 1972620110

Jennifer Kay Blake is a Counselor based in Springfield, OR. Jennifer Kay Blake practices in Eugene, OR and has the professional credentials of MA. The NPI Number for Jennifer Kay Blake is 1972620110 and holds a License No. C5663 (Oregon).

The current practice location address for Jennifer Kay Blake is 150 Shelton Mcmurphey Blvd Ste 101, Eugene, OR and can be reached out via phone at 541-210-8090 and via fax at 541-210-5310.

Location: 150 Shelton Mcmurphey Blvd Ste 101, Eugene, OR, 97477-7948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972620110
Provider Name
Jennifer Kay Blake
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
150 Shelton Mcmurphey Blvd Ste 101, Eugene, OR, 97477-7948
Phone Number
541-210-8090
Fax Number
541-210-5310
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500663059 05 OR
1972620110 01 OR NPI
institution
Provider Business Practice Location Address Details
Address
150 Shelton Mcmurphey Blvd Ste 101
City
Eugene
State
Oregon
Zip
97401-5015
Phone Number
541-210-8090
Fax Number
541-210-5310
person
Provider Business Mailing Address Details
Address
150 Shelton Mcmurphey Blvd Ste 101
City
Eugene
State
Oregon
Zip
97401-5015
Phone Number
541-210-8090
Fax Number
541-210-5310
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
C5663 (Oregon)
Definition
Definition to come...
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