NATHAN BLAKE

COLUMBUS, OH
NPI1427677632
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-04-09
Last Update Date2020-04-09
Business Address
NATHAN BLAKE
4000 E MAIN ST
COLUMBUS, OH 43213-2950
Phone number: 614-334-6903
Mailing Address
NATHAN BLAKE
4000 E MAIN ST
COLUMBUS, OH 43213-2950
Phone number:
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