Spencer Thomas Blake
Spencer Thomas Blake is an Addiction (Substance Use Disorder) Counselor in Ames, Iowa. Licensed in Iowa. Registered with an NPI since 2021.
- Licensed in
- IA
- In the registry since
- 2021
Practice location Address checks out
804 Kellogg AveAmes, IA 50010-6234
Phone: (515) 233-4930
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence T20064 (IA) |
|---|
Record details
| NPI number | 1346909991 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 10, 2021 |
| Last updated in NPPES | December 10, 2021 |
| Certification date | December 10, 2021 |
| Mailing address | 420 Kellogg Ave, Ames, IA 50010-6226 |
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Sarah J Britton, CADC
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Mrs. Arista Buckingham, BS
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