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Jill Blake, IADC
Addiction (Substance Use Disorder) Counselor in Sioux City, Iowa
NPI 1447601133

Jill Blake is an Addiction (Substance Use Disorder) Counselor based in Sioux City, IA and is specialized in Addiction (Substance Use Disorder). Jill Blake practices in Sioux City, IA and has the professional credentials of IADC. The NPI Number for Jill Blake is 1447601133 and holds a License No. 12122 (Iowa).

The current practice location address for Jill Blake is 3500 W 4Th St, Sioux City, IA and can be reached out via phone at 712-226-1801 and via fax at 712-293-4804.

Location: 3500 W 4Th St, Sioux City, IA, 51103-3203
person
Provider Profile Details
NPI Number
1447601133
Provider Name
Jill Blake
Credential
IADC
Provider Entity Type
Individual
Gender
Female
Address
3500 W 4Th St, Sioux City, IA, 51103-3203
Phone Number
712-226-1801
Fax Number
712-293-4804
Provider Enumeration Date
06/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3500 W 4Th St
City
State
Zip
51103-3203
Phone Number
712-226-1801
Fax Number
712-293-4804
person
Provider Business Mailing Address Details
Address
3500 W 4Th St
City
State
Zip
51103-3203
Phone Number
712-226-1801
Fax Number
712-293-4804
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
12122 (Iowa)
Definition
Definition to come...
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