Individual provider · Type 1 NPI

Katherine Joan Blakley

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1811020563 Active

Practice location

13929 Harper Ave
Detroit, MI 48213-3672

Call (313) 371-0055 Map

Fax (313) 371-1409

Mailing address

21370 Ridgedale St
Oak Park, MI 48237-2708

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

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About NPI 1811020563

Katherine Joan Blakley's National Provider Identifier is 1811020563, issued on Mar 13, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Jun 8, 2009.