person
Nicholas Blake, RADT
Addiction (Substance Use Disorder) Counselor in Fullerton, California
NPI 1548922537

Nicholas Blake is an Addiction (Substance Use Disorder) Counselor based in Fullerton, CA and is specialized in Addiction (Substance Use Disorder). Nicholas Blake practices in Fullerton, CA and has the professional credentials of RADT. The NPI Number for Nicholas Blake is 1548922537 and holds a License No. R1446301021 (California).

The current practice location address for Nicholas Blake is 771 W Orangethorpe Ave, Fullerton, CA and can be reached out via phone at 714-879-0929.

Location: 771 W Orangethorpe Ave, Fullerton, CA, 92832-2806
person
Provider Profile Details
NPI Number
1548922537
Provider Name
Nicholas Blake
Credential
RADT
Provider Entity Type
Individual
Gender
Male
Address
771 W Orangethorpe Ave, Fullerton, CA, 92832-2806
Phone Number
714-879-0929
Fax Number
Provider Enumeration Date
10/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
771 W Orangethorpe Ave
City
State
Zip
92832-2806
Phone Number
714-879-0929
Fax Number
person
Provider Business Mailing Address Details
Address
771 W Orangethorpe Ave
City
State
Zip
92832-2806
Phone Number
714-879-0929
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1446301021 (California)
Definition
Definition to come...
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