JILLISA YVETTE BLAKE

GAHANNA, OH
NPI1912610866
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.182979)
Enumeration Date2023-01-05
Last Update Date2023-01-05
Business Address
JILLISA YVETTE BLAKE CDCA
819 VENETIAN WAY
GAHANNA, OH 43230-1855
Phone number: 614-956-9323
Mailing Address
JILLISA YVETTE BLAKE CDCA
819 VENETIAN WAY
GAHANNA, OH 43230-1855
Phone number: 614-956-9323
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