person
Mr. Eddie Lee Blakes JR., LISAC
Addiction (Substance Use Disorder) Counselor in Chandler, Arizona
NPI 1992311534

Eddie Lee Blakes JR. is an Addiction (Substance Use Disorder) Counselor based in Chandler, AZ and is specialized in Addiction (Substance Use Disorder). Eddie Lee Blakes JR. practices in Chandler, AZ and has the professional credentials of LISAC. The NPI Number for Eddie Lee Blakes JR. is 1992311534 and holds a License No. LISAC-155298 (Arizona).

The current practice location address for Eddie Lee Blakes JR. is 1900 W Carla Vista Dr Unit 6665, Chandler, AZ and can be reached out via phone at 480-521-5289. You can also correspond with Eddie Lee Blakes JR. through the mailing address at 1900 W CARLA VISTA DR UNIT 6665, CHANDLER, AZ - 85246-4028 (mailing address contact number: 480-521-5289).

Location: 1900 W Carla Vista Dr Unit 6665, Chandler, AZ, 85246-4028
person
Provider Profile Details
NPI Number
1992311534
Provider Name
Eddie Lee Blakes JR.
Credential
LISAC
Provider Entity Type
Individual
Gender
Male
Address
1900 W Carla Vista Dr Unit 6665, Chandler, AZ, 85246-4028
Phone Number
480-521-5289
Fax Number
Provider Enumeration Date
09/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1900 W Carla Vista Dr Unit 6665
City
State
Zip
85246-4028
Phone Number
480-521-5289
Fax Number
person
Provider Business Mailing Address Details
Address
1900 W Carla Vista Dr Unit 6665
City
State
Zip
85246-4028
Phone Number
480-521-5289
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
LISAC-155298 (Arizona)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LISAC-155298 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LISAC-155298 (Arizona)
Definition
Definition to come...
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