BRENDA BLAKE-JOHNSON

PHOENIX, AZ
NPI1003408808
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-02-03
Last Update Date2021-02-03
Business Address
BRENDA BLAKE-JOHNSON
2423 W DUNLAP AVE STE 140
PHOENIX, AZ 85021-5818
Phone number: 602-279-5351
Mailing Address
BRENDA BLAKE-JOHNSON
4041 N CENTRAL AVE BLDG C
PHOENIX, AZ 85012-3313
Phone number: 602-279-5262