Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake Andrew Shupe, AODCOUNSELOR

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1609359090

Blake Andrew Shupe, AODCOUNSELOR is an Addiction (Substance Use Disorder) Counselor in Ukiah, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

201 Brush St
Ukiah, CA 95482-3424
Phone: (707) 462-6290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 7581 (CA)

Record details

NPI number1609359090
Entity typeIndividual (Type 1)
GenderMale
Credentials AODCOUNSELOR
Sole proprietorNo
NPI enumeratedSeptember 11, 2018
Last updated in NPPESSeptember 11, 2018

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