MR. Michael Blake Stuart, RADT

NPI #1538778865 in Oak Park, California

Provider Information

NPI Number: 1538778865
Entity Type: Individual
Name: MR. Michael Blake Stuart, RADT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: RADT
Enumeration Date: Jul 22, 2020
Last Updated: Jul 22, 2020

Practice Location

Address: 510 SAVONA WAY
City: Oak Park
State: California
ZIP Code: 91377-4841
Phone: (818) 661-9729

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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