Individual provider · Type 1 NPI

Virginia L. Blake, LADC, CCS, LSW

Addiction (Substance Use Disorder) Counselor · Calais, ME

NPI number 1659638955 Active

Practice location

127 Palmer St
Calais, ME 04619-1300

Fax (207) 454-0232

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLC3675 (ME)

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

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About NPI 1659638955

Virginia L. Blake, LADC, CCS, LSW's National Provider Identifier is 1659638955, issued on Apr 12, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Calais, ME. The record was last updated on Apr 12, 2012.