| 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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