National Provider Identifier
Paige Gayle Blazak, LMHC, NCC, CASAC
Paige Gayle Blazak, LMHC, NCC, CASAC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Canandaigua, NY and a listed phone number of (585) 750-4772.
Profile Overview
- NPI
- 1689703332
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- March 05, 2007
- Last Updated
- December 20, 2022
Practice Location
- 13 Terrace Dr
- Canandaigua, NY 14424-8882
Phone: (585) 750-4772
Specialties
- Mental Health Counselor (101YM0800X)
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1689703332
- Entity Type
- Individual
- Last Name
- Blazak
- First Name
- Paige
- Middle Name
- Gayle
- Name Prefix
- Mrs.
- Credential
- LMHC, NCC, CASAC
- Mailing Street Address
- 13 Terrace Dr
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-8882
- Mailing Country
- US
- Mailing Phone
- (585) 750-4772
- Practice Street Address
- 13 Terrace Dr
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-8882
- Practice Country
- US
- Practice Phone
- (585) 750-4772
- Enumeration Date
- March 05, 2007
- Last Updated
- December 20, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 20, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X), Addiction (Substance Use Disorder) Counselor (101YA0400X)