Individual provider · Type 1 NPI
Della Rea Blake, M.ED, LADC 1
Addiction (Substance Use Disorder) Counselor · Springfield, MA
NPI number
1639935240
Active
Practice location
13 Barrington Dr
Springfield, MA 01129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 18921 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1639935240
Della Rea Blake, M.ED, LADC 1's National Provider Identifier is 1639935240, issued on Feb 22, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Springfield, MA. The record was last updated on Feb 22, 2024.