Nicholas Blake, RADT
Nicholas Blake, RADT is an Addiction (Substance Use Disorder) Counselor in Fullerton, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
771 W Orangethorpe AveFullerton, CA 92832-2806
Phone: (714) 879-0929
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence R1446301021 (CA) |
|---|
Record details
| NPI number | 1548922537 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RADT |
| Sole proprietor | No |
| NPI enumerated | October 7, 2021 |
| Last updated in NPPES | October 7, 2021 |
| Certification date | October 7, 2021 |
| Mailing address | 771 W Orangethorpe Ave, Fullerton, CA 92832-2806 |
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