Blake, Jesse L

Blake, Jesse L is an individual health care provider with primary practice located at 40060 National Rd , Bethesda OH 43719-9763. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Blake, Jesse L can be contacted via phone (740) 792-0082.

Contact Information

Primary practice address
40060 National Rd Bethesda OH 43719-9763
Phone: (740) 792-0082
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S.2005362 Ohio
Behavioral Health & Social Service Providers / Social Worker 104100000X S.1800525-TRNE Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.2405108 Ohio

Profile Details

NPI number 1407322092
LBN Legal business name Blake, Jesse L
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2018
Last updated Jul 16th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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