Mr. Jonathan Blake
Mr. Jonathan Blake is a Mental Health Counselor in Stoneham, Massachusetts. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
219 Green StStoneham, MA 02180-1372
Phone: (781) 424-8238
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1235624313 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 29, 2018 |
| Last updated in NPPES | June 27, 2022 |
| Certification date | May 11, 2022 |
| Mailing address | 219 Green St, Stoneham, MA 02180-1372 |
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