Jennifer Kay Blake in Springfield - Mental Health
Jennifer Kay Blake - NPI 1972620110
Jennifer Kay Blake is a Mental Health in Springfield, Oregon. Jennifer Kay Blake practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jennifer Kay Blake is 1972620110. The last update date is 2020-05-28.
Jennifer Kay Blake's current location address is 3995 Marcola Rd, Springfield, Oregon. You can contact this provider via phone number 5417261465 and fax number 5417265085. The mailing address for Jennifer Kay Blake is 3995 Marcola Rd, Springfield, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Kay Blake |
|---|---|
| Address | 3995 Marcola Rd, Springfield, Oregon |
| Phone Number | 5417261465 |
| Fax Number | 5417265085 |
| Sole Proprietor | N |
| Credentials | MA |
NPI Number Detail
| NPI Number | 1972620110 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2020-05-28 |
Provider Mailing Address Detail
| Address | 3995 Marcola Rd |
|---|---|
| City | Springfield |
| State | Oregon (OR) |
| Post Code | 974777948 |
| Phone Number | 5417261465 |
| Fax Number | 5417265085 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | C5663 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500663059 | OR | -- | |
| 1972620110 | OR | NPI |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jennifer Kay Blake by the Centers for Medicare & Medicaid Services?
The Jennifer Kay Blake has been assigned the NPI (National Provider Identifier) 1972620110 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jennifer Kay Blake?
The Jennifer Kay Blake is situated at 3995 Marcola Rd, in the city of Springfield, state of OR, with the zip code 974777948.
What is the area of specialization for Jennifer Kay Blake, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jennifer Kay Blake is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.
On what date did the Jennifer Kay Blake receive its 1972620110 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Kay Blake was assigned its 1972620110 by the Centers for Medicare & Medicaid Services on 2007-03-23.
As of what date were the details related to Jennifer Kay Blake most recently updated or revised?
The information pertaining to Jennifer Kay Blake, including its address, specialty, and other relevant details, was last updated or revised on 2020-05-28.
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