Individual provider · Type 1 NPI

Jill Blake, IADC

Addiction (Substance Use Disorder) Counselor · Sioux City, IA

NPI number 1447601133 Active

Practice location

3500 W 4th St
Sioux City, IA 51103-3203

Fax (712) 293-4804

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X12122 (IA)

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

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About NPI 1447601133

Jill Blake, IADC's National Provider Identifier is 1447601133, issued on Jun 24, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sioux City, IA. The record was last updated on Jun 24, 2016.