Jillisa Yvette Blake, CDCA
Counselor, Addiction (Substance Use Disorder) in Gahanna, OH. Individual provider (NPI-1).
NPI number1912610866
StatusActive
Last updated in NPPESJan 5, 2023
Details
- NPI
- 1912610866
- Entity type
- Individual (NPI-1)
- Name
- Jillisa Yvette Blake
- Credential
- CDCA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 5, 2023
- Certification date
- Jan 5, 2023
- Last updated
- Jan 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDCA.182979 | OH | Yes |
Practice location
819 Venetian WayGahanna, OH 43230-1855
Phone 614-956-9323
Mailing address
819 Venetian WayGahanna, OH 43230-1855
Phone 614-956-9323
Is something wrong?
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.
Other Counselor, Addiction (Substance Use Disorder) providers in Gahanna, OH
- Mohammad Alam, LPCNPI 1275345589
- Alison Stagg CounselingNPI 1891681383
- Anchor Counseling LLCNPI 1912145269
- Anchored Growth Counseling LLCNPI 1437627189
- Robert R Baker, LPCC-SNPI 1437574621
- Sharon Bankes, LPC,CRCNPI 1144630021
- Abigail BeachyNPI 1184305732
- Linda Berks, LISWNPI 1043319452
- Carlos Bing, LPCNPI 1265947188
- Hunter BracaleNPI 1497480750
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.