NPI Profile for NATHANIEL A BLAKE in BURLINGTON, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1659889640 |
|
| Status | Active | |
| Credentials | CFBPPC, LCAS | |
| Entity | Individual | |
| Enumeration date | 01/12/2018 | |
| Last updated | 02/05/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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NATHANIEL A BLAKE
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