Leslie L Blake in Bellingham - Addiction (substance Use Disorder)

Leslie L Blake - NPI 1740336056

Leslie L Blake is a Addiction (substance Use Disorder) in Bellingham, Washington. Leslie L Blake practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Leslie L Blake is 1740336056. The last update date is 2007-07-08.

Leslie L Blake's current location address is 1603 E Illinois St, Bellingham, Washington. You can contact this provider via phone number 3606474266 and fax number 3606476057. The mailing address for Leslie L Blake is 1603 E Illinois St, Bellingham, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Leslie L Blake
Address 1603 E Illinois St, Bellingham, Washington
Phone Number 3606474266
Fax Number 3606476057
Sole Proprietor N
Credentials BS, CDP

NPI Number Detail

NPI Number 1740336056
Provider Enumeration Date 2007-01-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1603 E Illinois St
City Bellingham
State Washington (WA)
Post Code 982263644
Phone Number 3606474266
Fax Number 3606476057

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1991660 WA --

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FAQs about Leslie L Blake

What is the unique provider identifier assigned to Leslie L Blake?

The Leslie L Blake has been issued the NPI (National Provider Identifier) 1740336056 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Leslie L Blake's facilities are situated?

The facilities of Leslie L Blake are physically located at the following address: 1603 E Illinois St, Bellingham, WA, 982263644.

What is the Leslie L Blake's specialty and taxonomy code?

The Leslie L Blake's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1740336056 to Leslie L Blake?

The Leslie L Blake received its 1740336056 assignment from the Centers for Medicare & Medicaid Services on 2007-01-27.

As of what date was the information regarding Leslie L Blake, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Leslie L Blake, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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