| NPI | 1346850526 |
|---|---|
| Professional Name | JAKE BLONDHEIM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61435396) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2024-01-08 |