Blake, Jillisa Yvette
Blake, Jillisa Yvette is an sole proprietor health care provider with primary practice located at 819 Venetian Way , Gahanna OH 43230-1855. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Blake, Jillisa Yvette can be contacted via phone (614) 956-9323.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CDCA.182979 | Ohio |
Profile Details
| NPI number | 1912610866 |
|---|---|
| LBN Legal business name | Blake, Jillisa Yvette |
| Credentials | CDCA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2023 |
| Last updated | Jan 5th, 2023 - 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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