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Miss Amanda Blake
Addiction (Substance Use Disorder) Counselor in La Grande, Oregon
NPI 1588827950

Amanda Blake is an Addiction (Substance Use Disorder) Counselor based in La Grande, OR and is specialized in Addiction (Substance Use Disorder). Amanda Blake practices in La Grande, OR. The NPI Number for Amanda Blake is 1588827950 and holds a License No. (Oregon).

The current practice location address for Amanda Blake is 1100 K Ave, La Grande, OR and can be reached out via phone at 541-962-8800 and via fax at 541-963-5272.

Location: 1100 K Ave, La Grande, OR, 97850-2131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588827950
Provider Name
Amanda Blake
Credential
Provider Entity Type
Individual
Gender
Female
Address
1100 K Ave, La Grande, OR, 97850-2131
Phone Number
541-962-8800
Fax Number
541-963-5272
Provider Enumeration Date
07/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1100 K Ave
City
La Grande
State
Oregon
Zip
97850-2131
Phone Number
541-962-8800
Fax Number
541-963-5272
person
Provider Business Mailing Address Details
Address
1100 K Ave
City
La Grande
State
Oregon
Zip
97850-2131
Phone Number
541-962-8800
Fax Number
541-963-5272
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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