Mandi Jo Blake
Mandi Jo Blake is an Addiction (Substance Use Disorder) Counselor in San Jose, California. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
102 S 11th StSan Jose, CA 95112-2132
Phone: (408) 998-5191
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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 |
|---|
Record details
| NPI number | 1023655933 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 10, 2019 |
| Last updated in NPPES | December 10, 2019 |
| Certification date | December 10, 2019 |
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