Blake M Dunham
Blake M Dunham is an Addiction (Substance Use Disorder) Counselor in Vallejo, California. Licensed in California. Registered with an NPI since 2016.
- Licensed in
- CA
- In the registry since
- 2016
Practice location Address checks out
1149 Warren AveVallejo, CA 94591-7512
Phone: (707) 552-5295
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 8159-R (CA) |
|---|
Record details
| NPI number | 1164885380 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 4, 2016 |
| Last updated in NPPES | June 7, 2016 |
| Mailing address | 1149 Warren Ave, Vallejo, CA 94591-7512 |
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