Individual provider · Type 1 NPI

Mandi Jo Blake

Addiction (Substance Use Disorder) Counselor · San Jose, CA

NPI number 1023655933 Active

Practice location

102 S 11th St
San Jose, CA 95112-2132

Call (408) 998-5191 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1023655933

Mandi Jo Blake's National Provider Identifier is 1023655933, issued on Dec 10, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Dec 10, 2019.