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

Scott Walter Blake, SUDPT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1710768577

Scott Walter Blake, SUDPT is an Addiction (Substance Use Disorder) Counselor in Shelton, Washington. Licensed in Washington. Registered with an NPI since 2023.

Licensed in
WA
In the registry since
2023

Practice location Address checks out

235 S 3rd St
Shelton, WA 98584-2255
Phone: (360) 426-0890
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 61479679 (WA)

Record details

NPI number1710768577
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDPT
Sole proprietorNo
NPI enumeratedOctober 9, 2023
Last updated in NPPESOctober 9, 2023
Certification dateOctober 9, 2023
Mailing address15838 104th Ave Se, Yelm, WA 98597-9567

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