Jill Blake, IADC Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Sioux City, IA
- NPI
- 1447601133
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- 12122 (IA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2016-06-24
- Last updated
- 2016-06-24
Practice location
3500 W 4th St
Sioux City, IA 51103-3203
(712) 226-1801