GABRIELLE BLAKE CDCA
NPI 1245862200
Counselor - Professional in Newton Falls, OH
Active since February 07, 2020
About Gabrielle Blake Cdca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GABRIELLE BLAKE CDCA (NPI 1245862200) is an individual professional provider in Newton Falls, Ohio, licensed in Ohio (C.2103079) and active in the NPI registry since February 2020. She maintains a secondary practice location in Boardman.
NPPES Registry Identity
NPI1245862200
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameGABRIELLE BLAKECredential: CDCA
Location Address100 SUPERIOR STNewton Falls, OH 44444-1745
Mailing Address7939 Castle Rock Dr NeWarren, OH 44484-1412
Phone(330) 953-0243
Sole ProprietorNo
Enumeration DateFebruary 7, 2020
Last NPPES UpdateFebruary 2, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2021
✔ NPI 1245862200 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · C.2103079
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CDCA.171613 (OH), C.2103079 (OH)
100 SUPERIOR ST, Newton Falls, OH 44444
Secondary Practice Location 1
Location 1920 Boardman Canfield RdBoardman, OH 44512-4218 · Phone (330) 953-0243
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
100 SUPERIOR ST
NEWTON FALLS, OH 44444
NEWTON FALLS, OH 44444
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245862200, enumerated as an "individual" on February 07, 2020.
The provider is located at 100 SUPERIOR ST NEWTON FALLS, OH 44444 and the phone number is (330) 953-0243.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
