Jillisa Yvette Blake, CDCA
Jillisa Yvette Blake, CDCA is an Addiction (Substance Use Disorder) Counselor in Gahanna, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2023
Practice location Address checks out
819 Venetian WayGahanna, OH 43230-1855
Phone: (614) 956-9323
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CDCA.182979 (OH) |
|---|
Record details
| NPI number | 1912610866 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CDCA |
| Sole proprietor | Yes |
| NPI enumerated | January 5, 2023 |
| Last updated in NPPES | January 5, 2023 |
| Certification date | January 5, 2023 |
| Mailing address | 819 Venetian Way, Gahanna, OH 43230-1855 |
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