KENNETH AARON BLAKE

CHESTER, PA
NPI1851444012
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: PA  5288)
Enumeration Date2007-01-19
Last Update Date2007-07-08
Business Address
-- KENNETH AARON BLAKE MTS, CCDP
2600 W 9TH ST 4TH FLR
CHESTER, PA 19013-2040
Phone number: 610-497-7200
Mailing Address
-- KENNETH AARON BLAKE MTS, CCDP
3027 W 3RD ST
CHESTER, PA 19013-1805
Phone number: 610-859-9556
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