Individual provider · Type 1 NPI

Scott Walter Blake, SUDPT

Addiction (Substance Use Disorder) Counselor · Shelton, WA

NPI number 1710768577 Active

Practice location

235 S 3rd St
Shelton, WA 98584-2255

Call (360) 426-0890 Map

Mailing address

15838 104th Ave SE
Yelm, WA 98597-9567

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X61479679 (WA)

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

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About NPI 1710768577

Scott Walter Blake, SUDPT's National Provider Identifier is 1710768577, issued on Oct 9, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shelton, WA. The record was last updated on Oct 9, 2023.