Individual provider · Type 1 NPI

Amanda Mae Blake

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1306509211 Active

Practice location

1 Elizabeth Pl Ste NWB40
Dayton, OH 45417-3445

Call (937) 401-8672 Map

Mailing address

1628 Springfield St
Dayton, OH 45403-1430

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X186070 (OH)

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

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About NPI 1306509211

Amanda Mae Blake's National Provider Identifier is 1306509211, issued on Oct 18, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Feb 15, 2024.