Virginia L. Blake, LADC, CCS, LSW

NPI #1659638955 in Calais, Maine

Provider Information

NPI Number
1659638955
Entity Type
Individual
Name
Virginia L. Blake, LADC, CCS, LSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LADC, CCS, LSW
Enumeration Date
Apr 12, 2012
Last Updated
Apr 12, 2012

Practice Location

Address
127 PALMER ST
City
Calais
State
Maine
ZIP Code
04619-1300
Phone
(207) 454-0270

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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