Blake, Gabrielle

Blake, Gabrielle is an individual health care provider with primary practice located at 100 Superior St , Newton Falls OH 44444-1745. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Blake, Gabrielle can be contacted via phone (330) 953-0243.

Contact Information

Primary practice address
100 Superior St Newton Falls OH 44444-1745
Phone: (330) 953-0243
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.171613 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X C.2103079 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X C.2103079 Ohio

Profile Details

NPI number 1245862200
LBN Legal business name Blake, Gabrielle
Credentials CDCA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2020
Last updated Feb 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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