Individual provider · Type 1 NPI

Blake Andrew Shupe, AOD COUNSELOR

Addiction (Substance Use Disorder) Counselor · Ukiah, CA

NPI number 1609359090 Active

Practice location

201 Brush St
Ukiah, CA 95482-3424

Call (707) 462-6290 Map

Mailing address

2365 Road E
Redwood Valley, CA 95470-9517

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X7581 (CA)

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

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About NPI 1609359090

Blake Andrew Shupe, AOD COUNSELOR's National Provider Identifier is 1609359090, issued on Sep 11, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ukiah, CA. The record was last updated on Sep 11, 2018.