Tiffany Blake, MS, Phd
Counselor, Mental Health in Marlton, NJ. Individual provider (NPI-1).
NPI number1649898750
StatusActive
Last updated in NPPESJul 6, 2020
Details
- NPI
- 1649898750
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Blake
- Credential
- MS, Phd
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2020
- Certification date
- Jul 6, 2020
- Last updated
- Jul 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
525 Route 73 N Ste 104Marlton, NJ 08053-3422
Phone 609-356-3542
Mailing address
525 Route 73 N Ste 104Marlton, NJ 08053-3422
Phone 609-356-3542
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