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

Blayke Gabriella Roberts, SUDRC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1730801184

Blayke Gabriella Roberts, SUDRC is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

3340 Kemper St Ste 105
San Diego, CA 92110-4907
Phone: (619) 523-8121
Fax: (619) 523-8742
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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 13803 (CA)

Record details

NPI number1730801184
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDRC
Sole proprietorNo
NPI enumeratedSeptember 13, 2022
Last updated in NPPESMarch 13, 2023
Certification dateMarch 13, 2023

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