SPENCER THOMAS BLAKE
Individual Provider (NPI-1)
Active
Counselor, Addiction (Substance Use Disorder)
Provider Information
- NPI Number
1346909991- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 804 KELLOGG AVE, AMES, IA, 500106234
- Phone
- (515) 233-4930
Specialties & Taxonomies
Counselor, Addiction (Substance Use Disorder)
Primary License: IA #t20064