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

Nicholas Glenn Blake

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1437076346

Nicholas Glenn Blake is an Addiction (Substance Use Disorder) Counselor in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2026

Practice location Address checks out

23 Bradston St
Boston, MA 02118-2703
Phone: (617) 318-6488
Fax: (617) 427-1263
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 (MA)

Record details

NPI number1437076346
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 1, 2026
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address23 Bradston St, Boston, MA 02118-2703

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