Individual provider · Type 1 NPI

Blake M. Smith

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1134027873 Active

Practice location

1731 Menlo Ave
Los Angeles, CA 90006-4613

Mailing address

13181 Crossroads Pkwy N Ste 440
City Of Industry, CA 91746-3499

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRT1447050626 (CA)

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

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About NPI 1134027873

Blake M. Smith's National Provider Identifier is 1134027873, issued on Oct 30, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 30, 2026.