Individual provider · Type 1 NPI

Eddie Lee Blakes Jr., DBH, LIAC

Mental Health Counselor · Mesa, AZ

NPI number 1992311534 Active

Practice location

2266 S Dobson Rd Ste 200
Mesa, AZ 85202-6412

Fax (480) 386-9910

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XLIAC-155298 (AZ)
Addiction (Substance Use Disorder) Counselor 101YA0400XLIAC-155298 (AZ)
Mental Health Counselor Primary 101YM0800XLIAC-155298 (AZ)

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About NPI 1992311534

Eddie Lee Blakes Jr., DBH, LIAC's National Provider Identifier is 1992311534, issued on Sep 18, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mesa, AZ. The record was last updated on Apr 29, 2025.