Individual provider · Type 1 NPI
Kenneth Aaron Blake, MTS, CCDP
Addiction (Substance Use Disorder) Counselor · Chester, PA
NPI number
1851444012
Active
Practice location
2600 W 9th St, 4th Flr
Chester, PA 19013-2040
Mailing address
3027 W 3rd St
Chester, PA 19013-1805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 5288 (PA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1851444012
Kenneth Aaron Blake, MTS, CCDP's National Provider Identifier is 1851444012, issued on Jan 19, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chester, PA. The record was last updated on Jul 8, 2007.