person
Blake M Dunham
Addiction (Substance Use Disorder) Counselor in Vallejo, California
NPI 1164885380

Blake M Dunham is an Addiction (Substance Use Disorder) Counselor based in Vallejo, CA and is specialized in Addiction (Substance Use Disorder). Blake M Dunham practices in Vallejo, CA. The NPI Number for Blake M Dunham is 1164885380 and holds a License No. 8159-R (California).

The current practice location address for Blake M Dunham is 1149 Warren Ave, Vallejo, CA and can be reached out via phone at 707-552-5295.

Location: 1149 Warren Ave, Vallejo, CA, 94591-7512
person
Provider Profile Details
NPI Number
1164885380
Provider Name
Blake M Dunham
Credential
Provider Entity Type
Individual
Gender
Male
Address
1149 Warren Ave, Vallejo, CA, 94591-7512
Phone Number
707-552-5295
Fax Number
Provider Enumeration Date
04/04/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8159-R 01 CA CATC
institution
Provider Business Practice Location Address Details
Address
1149 Warren Ave
City
State
Zip
94591-7512
Phone Number
707-552-5295
Fax Number
person
Provider Business Mailing Address Details
Address
1149 Warren Ave
City
State
Zip
94591-7512
Phone Number
707-552-5295
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
8159-R (California)
Definition
Definition to come...
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