AMANDA BLAKE
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1306509211
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | No | - |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 186070 (OH) |
Frequently Asked Questions
NPI 1306509211 is the National Provider Identifier for AMANDA BLAKE, a Counselor - Addiction (Substance Use Disorder) provider located in Dayton, OH. This NPI was enumerated on October 18, 2021.
AMANDA BLAKE practices at 1 ELIZABETH PL STE NWB40, Dayton, OH 45417.
Quick Facts
- NPI
- 1306509211
- Type
- Individual
- Enumerated
- Oct 18, 2021
- Last Updated
- Feb 15, 2024
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