Individual provider · Type 1 NPI

Benjamin William Blair, R1499800323

Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA

NPI number 1003510769 Active

Practice location

625 Steele Ln
Santa Rosa, CA 95403-3127

Fax (707) 576-7845

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X49-02 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003510769

Benjamin William Blair, R1499800323's National Provider Identifier is 1003510769, issued on Mar 28, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Mar 28, 2023.