Individual provider · Type 1 NPI
Robert E. Blake
Addiction (Substance Use Disorder) Counselor · San Diego, CA
NPI number
1972794212
Active
Practice location
3969 4th Ave Ste 203
San Diego, CA 92103-3165
Fax (610) 692-0442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1972794212
Robert E. Blake's National Provider Identifier is 1972794212, issued on Aug 1, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Aug 1, 2007.