Individual provider · Type 1 NPI

Marisol Christine Blaske, BA

Addiction (Substance Use Disorder) Counselor · Happy Valley, OR

NPI number 1669920377 Active

Practice location

10822 SE 82nd Ave, Ste K
Happy Valley, OR 97086-7658

Fax (503) 654-0392

Mailing address

PO Box 12403
Portland, OR 97212

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 1669920377

Marisol Christine Blaske, BA's National Provider Identifier is 1669920377, issued on Sep 12, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Happy Valley, OR. The record was last updated on Sep 12, 2016.