Jessica Katharine Blose, LMHC
Counselor, Mental Health in Niagara Falls, NY. Individual provider (NPI-1).
NPI number1750705331
StatusActive
Last updated in NPPESFeb 18, 2014
Details
- NPI
- 1750705331
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jessica Katharine Blose
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 18, 2014
- Last updated
- Feb 18, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 005930-1 | NY | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 005930-1 | NY |
Practice location
1001 11th StNiagara Falls, NY 14301-1201
Phone 716-278-8110 · Fax 716-278-8111
Mailing address
1001 11th StNiagara Falls, NY 14301-1201
Phone 716-278-8110 · Fax 716-278-8111
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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