Individual provider · Type 1 NPI

Mary Angela Blair, SUDP

Addiction (Substance Use Disorder) Counselor · Seattle, WA

NPI number 1407356967 Active

Practice location

113 23rd Ave S
Seattle, WA 98144-2309

Call (062) 195-9802 Map

Fax (206) 812-6161

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60639393 (WA)

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

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About NPI 1407356967

Mary Angela Blair, SUDP's National Provider Identifier is 1407356967, issued on Feb 20, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Seattle, WA. The record was last updated on Dec 19, 2023.