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

Mr. Nathaniel Allen Blake, CFBPPC, LCAS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1659889640

Mr. Nathaniel Allen Blake, CFBPPC, LCAS is an Addiction (Substance Use Disorder) Counselor in Burlington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.

Licensed in
NC
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1230 Saint Marks Church Rd
Burlington, NC 27215-9797
Phone: (336) 227-5476
Fax: (336) 437-1898
Show map & directions

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

Specialties & licences

Pastoral Counselor (primary) Taxonomy 101YP1600X · Licence 116 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 22716 (NC)

Record details

NPI number1659889640
Entity typeIndividual (Type 1)
GenderMale
Credentials CFBPPC , LCAS
Sole proprietorNo
NPI enumeratedJanuary 12, 2018
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020

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