Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy Brent Blake, CDCA

Individual provider Case Manager/Care Coordinator · NPI 1285364158

Jeremy Brent Blake, CDCA is a Case Manager/Care Coordinator in Ironton, Ohio. Licensed in Ohio. Registered with an NPI since 2022.

Licensed in
OH
In the registry since
2022
Specialties on file
2

Practice location Address checks out

214 S 4th St
Ironton, OH 45638-1610
Phone: (740) 532-3767
Fax: (740) 532-3385
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.181009 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X (OH)

Record details

NPI number1285364158
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorNo
NPI enumeratedJune 14, 2022
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022

Other providers in Ironton