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

Trevor Glenn Blake, RADT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1447077375

Trevor Glenn Blake, RADT is an Addiction (Substance Use Disorder) Counselor in Merced, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

301 E 13th St
Merced, CA 95341-6211
Phone: (209) 381-6800
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 R1573850824 (CA)

Record details

NPI number1447077375
Entity typeIndividual (Type 1)
GenderMale
Credentials RADT
Sole proprietorNo
NPI enumeratedSeptember 23, 2024
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024

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