Blake, Mary Ellen

Blake, Mary Ellen is an individual health care provider with primary practice located at Catholic Charities 4200 Park Ave 3Rd Floor, Ashtabula OH 44004. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Blake, Mary Ellen can be contacted via phone (440) 992-2121.

Contact Information

Primary practice address
Catholic Charities 4200 Park Ave 3Rd Floor Ashtabula OH 44004
Phone: (440) 992-2121
Fax: (440) 992-5974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E345 Ohio

Profile Details

NPI number 1093875783
LBN Legal business name Blake, Mary Ellen
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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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