Amanda Mae Blake
Amanda Mae Blake is a Case Manager/Care Coordinator in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1 Elizabeth Pl Ste NWB40Dayton, OH 45417-3445
Phone: (937) 401-8672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 186070 (OH) |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1306509211 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 18, 2021 |
| Last updated in NPPES | February 15, 2024 |
| Certification date | February 15, 2024 |
| Mailing address | 1628 Springfield St, Dayton, OH 45403-1430 |
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