Individual provider · Type 1 NPI

Alicia Blake

Addiction (Substance Use Disorder) Counselor · Pueblo, CO

NPI number 1508322330 Active

Practice location

509 E 13th St
Pueblo, CO 81001-2940

Call (719) 546-1918 Map

Mailing address

4485 Laredo Meadow Pt Apt 203
Colorado Springs, CO 80922-4017

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1508322330

Alicia Blake's National Provider Identifier is 1508322330, issued on Feb 18, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pueblo, CO. The record was last updated on Feb 18, 2019.