Individual provider · Type 1 NPI

Spencer Thomas Blake

Addiction (Substance Use Disorder) Counselor · Ames, IA

NPI number 1346909991 Active

Practice location

804 Kellogg Ave
Ames, IA 50010-6234

Mailing address

420 Kellogg Ave
Ames, IA 50010-6226

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT20064 (IA)

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

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About NPI 1346909991

Spencer Thomas Blake's National Provider Identifier is 1346909991, issued on Dec 10, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ames, IA. The record was last updated on Dec 10, 2021.