Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILLISA YVETTE BLAKE, CDCA
Active Sole ProprietorJILLISA YVETTE BLAKE, CDCA is a Addiction (Substance Use Disorder) Counselor healthcare provider located in GAHANNA, Ohio. NPI 1912610866 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · GAHANNA, OH
Registration Details
- NPI Number
- 1912610866
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 5, 2023 (3.6181175600235 yrs)
- Last Updated
- Jan 5, 2023
- License
-
CDCA.182979 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
819 VENETIAN WAYGAHANNA, OH, 432301855Browse OH providers · Browse ZIP 43230
- Phone
- 6149569323
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in GAHANNA, OH
| Name | Credential | NPI |
|---|---|---|
| MRS. APRYL ASHBURN | — | 1780180083 |
| MR. DONN DAVID ROSS | MS, LICDC | 1700353489 |
| PATRICIA RICHARDSON | LCDCIII | 1497367890 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.