Blake M Dunham Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Vallejo, CA

NPI

1164885380

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

8159-R (CA)

Sex

Male

Sole proprietor

No

Enumerated

2016-04-04

Last updated

2016-06-07